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Accu-Chek Guide Pre-Booking Form For Representatives

Fill in the fields below to order and identify the pharmacy.

Product Ordering
Product NameRegular Cost*Promotion Cost*Quantity
2 unit displayer
$70.00
$35.00
Accu-Chek Guide Meter
$35.00
$17.50
Accu-Chek Guide Strips 100
$69.40
N/A
Accu-Chek Guide Strips 50
$34.70
N/A