DiabLink PC - Order Your Key Ordering By Fax Or Mail! Do you prefer ordering by fax or mail? No problem! Just fill in the form and then click "Print formular". You can send us the form by fax or mail! Address And Fax Number DiabLink Medical Services GmbH & Co. KG P.O.Box 21 64 D-69242 Mühlhausen Germany Telefax: (+49 62 22) 6 47 83

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Herewith I order my personal releasing key for Diablink PC Software at a price of 29 EUR! (please crossmark!)
Please send my releasing key by E-Mail   Fax   Mail (upon receipt of my payment).
Please tag the desired mode of payment: Direct Debit Giro transfer
If you have choosen "direct debit", please enter your banking connection:
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Bank:**
**= Fill in your particulars only, if you have choosen "direct debit".
If you have choosen "giro transfer", please remit the amount to the following account: DiabLink Medical Services GmbH & Co. KG Account: 904 527 9 Sparkasse Heidelberg Germany Bank Code Number: 672 500 20
Please note: The releasing key is generated for you personally and cannot be returned according to the directives for remote sales contracts.
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