Order Form - Fast Cash for Diabetic Test Strips

Request a Free Mailing Label or Free Mailing Package

The information that we collect here will permit us to issue you your free postage label. All information is kept confidential

Please review our Prices
Also, please review the Damage Guidelines page
Text us pictures of the front, back, and side that has the expiration date on it
Call us for a finalized quote
We will send you the itemized order page and the mailing label.
Also, please review the SPECIAL INSTRUCTIONS on the FAQ page

Check either box below on how you would like to receive your label

I would like a shipping label to be EMAILED to the EMAIL ADDRESS below

I would like a shipping label to be MAILED to the MAILING ADDRESS below

Check either box below to show how you would like to be paid

By Check

By PayPal

First Name

Last Name

Phone Number

Delivery Address

Test Strips

Quantity

Quality Rating 10 = Mint

Expiration Date(s) EX: 4/30/2023

Test Strips (Second set of boxes)

Quantity 2

Quality Rating 10 = Mint*

Expiration Date(s) EX: 4/30/2023

Test Strips (Third set of boxes)

Quantity

Quality Rating 10 = Mint*

Expiration Date(s) EX: 4/30/2023

LANCETS

Lancets Quantity

Lancets Quality Rating 10 = Mint*

Lancets Expiration Date(s) EX: 9/30/2026

OTHER

OTHER Quantity

Other Quality Rating 10 = Mint*

Other Expiration Date(s) EX: 4/30/2023

(*See the Damage Guidelines Page)

Additional Notes

If you have a printer, we highly recommend that you have us EMAIL you a label. Obviously choosing to have us MAIL you a label will take longer, up to 4-6 business days

I agree to the terms of service (click here to view).