Meter Registration Form

Select your product below and add the serial number found on the back of your meter.

Field marked with (*) are mandatory as information will be required for proper e-warranty registration purposes.

Meter Type*

Meter Serial Number*

How do I find my serial number?

First Name*

Last Name*

Date of Birth*

Address

City

Email*

Phone*

Where did you hear about our meter?*

How many times a week do you self monitor?

In what year were you diagnosed?

What type of diabetes do you have?

Type 1 (previously known as insulin-dependent diabetes) Type 2 (previously known as adult-onset diabetes) Gestational (diagnosed for the first time during pregnancy) Not known

How do you control your diabetes?

Insulin and Oral Medication Oral Medications Diet and Exercise Insulin Only

What meter haved you used before?

Ascensia Communications

ADC would like to use your details to provide you with information on product improvements, for learning more about diabetes and for statistical purposes. If you do not wish to receive such information please tick here.

You can unsubscribe at any time by contacting us via the link “Contact Us” at the bottom

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Your submission has been successfully received.

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Ascensia, the Ascensia Diabetes Care logo, Contour, Microlet, Glucofacts, the No Coding logo, and Second-Chance are trademarks and/or registered trademarks of Ascensia Diabetes Care Holdings AG

Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc. Google Play and the Google Play logo are trademarks of Google LLC. The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Ascensia Diabetes Care is under license. All other trademarks are the property of their respective owners.

九龍觀塘觀塘道388號創紀之城1期1座31樓3112-3113室

+852 8100 6386

Ascensia, the Ascensia Diabetes Care logo, Contour, Microlet, Glucofacts, the No Coding logo, and Second-Chance are trademarks and/or registered trademarks of Ascensia Diabetes Care Holdings AG

Meter Registration Form

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