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First Name
Last Name
Phone
Email Address
Street Address
Apt/Suite Number
City
State
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Alaska
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Colorado
Connecticut
Delaware
Florida
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District of Columbia
American Samoa
Guam
Northern Mariana Islands
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United States Minor Outlying Islands
Virgin Islands, U.S.
Zip Code
What types of items do you have to sell?
Test Strips
Omnipod
Medtronic
Dexcom
Freestyle Libre
Condition of the Boxes:
Mint
DInged
Damaged
How many do you have?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
How many?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
How many?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
How many?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Do you have other items to sell?
Yes
No
How would you like to be paid?
Paypal
Venmo
Cash App
Zelle
Check
Account Name for Payment
Upload Photos
Notes
By clicking the submit button, you agree to the Terms and Conditions, Privacy Policy and Important Instructions.
IMPORTANT NOTICE: We inspect every shipment to ensure the boxes matches the condition you stated on this form. We reserve the right to adjust the price paid if there is a difference between the condition you stated and what we receive. We do not return boxes, so please ensure that your quote accurately reflects the items you send.
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