LifeScan Blood Glucose Meter Order Form
Please email form to: [email protected] or fax form to: 0800 001220
Please note meters are available in multiples of 10. Please send me:
Item
Item Code
02321001
Item Description
Qty (multiples of
10)
OneTouch Select® Plus Meter
System
Please deliver to:
Contact Name: …………………………………………………………………………………………………
Surgery Name: ………………………………………………………………………………………………..
Address 1: ………………………………………………………………………………………………………..
Address 2: ……………………………………………………………………………………………………….
Town: ……………………………………………………………………………………………………………….
Postcode: …………………………………………………………………………………………………………
Contact Email: ………………………………………………………………………………………………….
Contact Tel. No: ……………………………………………………………………………………………….
*please allow 5 working days for delivery of meters
Control Solution for the meter is available from the Customer Care Team
on 0800 121200
For further information and support please contact: Shakti Chauhan, 07825 979 234,
[email protected]