Pricelist Print

Mail To:

More cash for test strips
245 West Carson Street
Carson, CA 90745

Mail From:
Name
Address
Appt, suite #
City
State
Zip
Phone#

D
D
D
D
D
D
D
D

Promo Code:

— D

Note:

— D

Prefer Payment Method:

Fargo Direct Pay

Label Request:

D

CHECK BOX 2 - PERMISSION TO COLLECT EMAIL

CHECK BOX 3 - PERMISSION TO SEND TEXT MESSAGES

TEST STRIPS BRAND NAME	Price & Number of Boxes		Estimated Sub-Total
TEST STRIPS BRAND NAME	Price & Number of Boxes		Estimated Sub-Total
	Estimated Sub-Total		$D

DATE			2023-06-07
Grand Total			$0.00

IMPORTANT NOTICE:
DO NOT REMOVE any existing labels from your diabetic supply boxes! We remove all labels upon receipt at our facility; however, if you are still concerned about your privacy, please simply mark out any personal information (such as your name) with a soft, felt-tip marker (no ballpoint pens or pencils, please) to avoid damaging the box(es).
YOU WILL RECEIVE AN EMAIL FROM US IN A FEW MINUTE CHECK YOUR EMAIL AND YOUR SPAM


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