Get Directest Glucose Monitor Kits Order Form - Needy Meds - Needymeds

Filling out the DirecTest Glucose Monitor Kits Order Form online can be straightforward when you follow the correct steps. This guide provides detailed instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the order form successfully.

1. Press the ‘Get Form’ button to access the order form and open it in your preferred online editing tool.
2. Begin by entering your personal information in the designated fields. Include your first name, last name, and complete address with any apartment number, city, state, and ZIP code.
3. Provide your phone number in the specified format to ensure that DirecTest can contact you if necessary.
4. Select the items you wish to order from the provided list and fill in the corresponding quantities next to each item.
5. Calculate the total cost for the items ordered, including any applicable shipping charges. Ensure that the total is accurate before proceeding.
6. Choose your payment method by selecting either credit card or money order. If using a credit card, fill in the card details including card number, expiration date, and the name on the card.
7. Sign the authorization for payment by adding your signature in the designated field, confirming that you agree to the total amount charged.
8. Once all fields are completed accurately, you can save your changes, download the form, or print it out for submission.
9. Finally, fax the completed order form and payment to the provided fax number or mail it to the specified address to finalize your order.

Start filling out the DirecTest Glucose Monitor Kits Order Form online today!