FIFTY50 Medical
Half Our Profits Fund Diabetes Research  
FIFTY50 Medical Blood Glucose Meter

Warranty Registration Card

Customer Service: 1.800.746.7505

Please complete the following form in order to activate your five-year guarantee and to receive information about free product upgrades.

Full Name:
Sex: Male Female
Date of Birth (mm/dd/yyyy):
Type of Diabetes: Type 1 Type 2
Street Address 1:
Street Address 2:
City:
State:
Zip:
Meter Serial Number (located on back of meter):
Date Purchased (mm/dd/yyyy):
Would you like to receive FIFTY50 product Notifications by email? Yes No
Email Address:

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