Thank you for your interest in TRUEmanager™ Diabetes Management Software from Home Diagnostics, Inc. Please complete the information below. Once your information is submitted, you will receive an email with a link to the End User Agreement. If you agree to these terms and click "I Agree", you will then be taken to the appropriate page to download the TRUEmanager™ Diabetes Management Software to your computer.

By completing this form, we will be able to keep you informed and up-to-date on new information related to the use of this software.

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

1. Please indicate meter(s) 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 your 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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