Warranty Registration Card

Thank you for choosing a Bayer product. Simply complete the registration form for an entitlement to a 5 years warranty.

At Bayer, we respect your right to privacy. We also want to present information that is tailored to the needs of our visitors. We ask that you register your meter by filling in the information above. We will use the information you share with us for alerting you any product upgrade and update information, service improvement, research and analysis. Your information will only be used internally and will not be shared with third parties outside the company.

Please contact us at diabetescare@bayerhealthcare.com for any additional questions about the management or use of personal data.


Warranty Registration Card

Product*

Serial No.*

Name*

Telephone*

Date of Birth*

Year Month Day

Address*

Postcode

Email

Hospital/Private Clinics

Purchase Location*

Purchase Date* Year Month Day

1. Which type of diabetes are you?
Type 1      Type 2

2. How long have you been diagnosed with diabetes?
1-3 years     3-5 years     5-10 years

3. How do you control your diabetes?
Insulin     Oral Medication     Insulin + Oral Medication

4. Number of blood glucose tests performed in the past seven days
less than 1 time     1-3 times     4-6 times

5. What blood glucose monitoring system, if any, were you previously using?
yes, brand:      no

6. Purchase Reason
Medical Staff Recommendation
Family / Friend Recommendation
Product Feature
Other, please specify:

7. How do you know about our product(s)?
In hospital
Medical Staff / Family / Friend Recommendation
Internet
Product Leaflet / Brochure
Other, please specify:

 

Limitations of Warranty:

  1. This warranty is limited to replacement due to defects in parts of workmanship. Bayer HealthCare shall not require to replace any units which malfunction or are damaged due to abuse, accidents, alteration, misuse, neglect, maintenance by other than Bayer HealthCare, or failure to operate the instruments in accordance with instructions.
  2. This warranty does not include the fee for changing spare parts.
  3. This warranty only applies to domestic market.

The information will help us to ensure that you receive the latest educational and product information from us.
Please tick the box if you do not wish to receive any material.


Please type in the security code AACH:
Security code: