GLUCOPLUS™ WARRANTY REGISTRATION
To register your GlucoPlus™ blood glucose monitoring system please complete the required information below and click "submit".
An asterisk (*) indicates a required information.
First Name *
Middle Initial
Last Name *
Address *
City *
Country *
State / Province *
Zip / Postal Code *
Home Phone
Gender
Male Female
Diabetes Type
Date of Birth (MM/DD/YY)
/ /
Meter Serial No. *
Purchase Date (MM/DD/YY) *
Purchased From (Store Name)
Your Email Address
Would you like to be on our mailing list? Yes Please indicate if you want to receive periodic diabetes news and Special Offers from GlucoPlus via e-mail. (If you do, you need to enter an e-mail address in the field above.)
