Generate Your Packing Slip*

Fill the form below to generate your Packing Slip or put the below information on a blank piece of paper and include it with your test strips shipment so we can pay you promptly. You don't have to fill this form to send to send us the strips, all we need is this information so you can get paid.

 Firstname:  
 Lastname:  
 Email:  
 Phone:  
 Address:  
 City:  
 State:  
 Zipcode:  
 Test Strips Name:  
 Quantity(Boxes):   At least 5 boxes.
 Quantity per Box:  
 
I agree to the Terms and Conditions
 

* Shipping fee for packages with less than 5 test strips boxes can not be reimbursed.


Due to huge amounts of daily shipments our office staff cannot confirm shipments. The best way is to have a tracking number to confirm that we received your merchandise, that way you are also protected.

Checks sent after 21 business days
(We check all strips for broken seals and expiration date)


Note: If you PLAN to send us your unused and unexpired diabetes test strips by NOT using our packing slip form online, please Click Here for details.

 

Call 1-800-267-9895 For More Information