leaderbgm.com

Product Warranty:
We warrant your meter to be free from defects in material and workmanship for 5 years from date of purchase. If the meter does not work for any reason other than obvious abuse, we agree to replace it with a new or equivalent meter free of charge. The warranty does not cover batteries, damages by accident or if altered, misused, tampered with, or abused in any way. The warranty will be voided if any product containing bleach is used on the meter.

Customer Support: 1-800-838-9502

Warranty Form Name

Serial Number*

Date Purchased*

Purchased From*

Name*

First Last

Phone*

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Gender

Male
Female

Date of Birth

Which Type of Diabetes do you have?

How many times a day do you test?

Where do you purchase blood glucose supplies?

Mail/Internet
Retail Pharmacy
DME

Do you use insulin?

Yes
No

Please rank the features that matter to you most when choosing a meter.
(1 = most important; 6 = least important)
Assign each ranking only once.

Ease of Use

Recommendations

Accuracy

Appearance

Cost of test strips

Data Management

What insurance do you have?

If other:

Physician’s Name

CAPTCHA