Registration

Important! To register your device purchase for measuring glucose levels in the blood of Contour Plus to exchange for life fill this voucher. After registering you will be able to exchange your glyukomert Contour Plus naprotjazhenii indefinitely.
Name
Surname
Middle name
Date of Birth
Gender
Male Female
Country
Locality
The date of filling
Street
House
Housing
Apartment
Phone number
Email
Password
Repeat password
Date of Purchase of the device
The serial number of the device
Number of measurements per week
2 times a day, or more often
1 per day
2-3 times a week
1 time per week
2-3 times per month
1 time per month
Did you have a meter before?
If so, what?
no
yes
Diabetes Type
Type I (on insulin)
Type II (non-insulin)
Type II (insulin)
How did you learn about your meter?
from a doctor
from friends
on TV
by wireless
banners
leaflets