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YOUR DIABETIC SUPPLY DEALER
SELL YOUR SUPPLIES AND GET PAID FAST AND EASY
9
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1
WHAT PRODUCT(S) ARE YOU SELLING?
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BRAND AND QUANTITY (EXAMPLE: OMNIPOD 5, 5 PACK) (G7 1PK
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2
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MUST SHOW DATES, REFERENCE # & BOX CONDITION.
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3
CONDITION OF PRODUCTS
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SELECT ALL THAT APPLY
MINT (SEALED) CONDITION
MINT (OPEN BOX) CONDITION
SCRATCH, STAINED, DINGED BOX
DAMAGED UNIT
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4
DELIVERY OPTIONS
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PICKUP ONLY
WILLING TO SHIP (LABEL INCLUDED)
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5
PREFERRED METHOD OF PAYMENT
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SELECT ALL THAT APPLY
PAYPAL
CA$H APP
VENMO
ZELLE
CASH (PICKUP ONLY)
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6
YOUR INFORMATION
*
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NAME
LOCATION
PHONE NUMBER
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7
WERE YOU REFERRED BY ANYONE ?
EVERY PERSON YOU REFER IS $35 IN YOU POCKET !!!
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8
HOW EASY WAS THIS EXPERIENCE
1
2
3
4
5
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9
Please verify that you are human
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