Please complete the registration information below within 10 days of receipt of your TRUEmanager™ Diabetes Management Software. By registering your software, we will be able to keep you informed and up-to-date on new information related to the use of this software. Thank you.

First Name: *
  Last Name: *
Email Address: *
Title:
    		Company:
Address: *
    		Address 2:
City: *
State / Province: *
 
Zip / Postal Code: *
Country:
Phone Number: *


1. Please indicate meter used: *
TRUEresult™ Meter
TRUE2go™ Meter (Data must be manually entered into TRUEmanager™)
TRUEtrack® Meter
TRUEread® Meter
TRUEbalance™ Meter
Sidekick® Meter (Data must be manually entered into TRUEmanager™)
Prestige IQ® Meter
2. Which operating system are you using? *
Windows® XP
Windows® Vista®
Windows® 2000

3. Are you a diabetes patient or a healthcare professional? *
Diabetes Patient
Healthcare Professional

4. Will you use TRUEmanager™ on more than one computer? *
Yes
No

5. Comments:
* Answer Required  

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