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Recipient Name Sample Address Line 1 Sample Address Line 2 Sample Address Line 3 Sample Address Line 4
You could enjoy checking this meter as well...
Accu-Chek is a trademark of the Roche Group. Roche Diagnostics (NZ) Ltd, 15 Rakino Way, PO Box 62 089, Mt Wellington, Auckland, New Zealand. Free Phone 0800 80 22 99 • www.accu-chek.co.nz
9 February 2007 Roz Vickerman Sample Address Line 1 Sample Address Line 2 Sample Address Line 3 Sample Address Line 4
A few details and you could
win $1000 in petrol vouchers.
Dear [Recipient] You are registered as having an Accu-Chek Advantage meter and, as you probably know, we provide continuing back-up while you are using your meter. In the next few months we will be providing important information about updating your meter. But first we need to update our customer records for you. Would you please complete the attached form and return it to us. Please be assured that the information you provide is confidential and will only be used by Roche Diagnostics to provide you with information and material that is important to you. You only need a few minutes to complete the information and, to help you get the information back to us quickly, we are offering a lucky prize draw of $1000 in petrol vouchers. Return your information by 13 April and you’ll be in the draw to win. Better still, send us your information online or phone our help desk on 0800 80 22 99 and you’ll receive an extra entry in the prize draw. So update your details NOW and be sure you’re in the prize draw. Thank you, we look forward to being in touch again in a few months with news that will be valuable to you.
Kind regards,
Roz Vickerman Manager Diabetes Care Roche Diagnostics NZ
Accu-Chek is a trademark of the Roche Group. Roche Diagnostics (NZ) Ltd, 15 Rakino Way, PO Box 62 089, Mt Wellington, Auckland, New Zealand. Free Phone 0800 80 22 99 • www.accu-chek.co.nz
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Accu-Chek Advantage Customer Information Update Wi n
$1000 i n petrol vouchers
Please complete the following information which will enable Roche Diagnostics to provide you with important information to update your blood glucose meter in 2007.
Do you use tablets? Yes No Please list which tablets you use:
Return this information by 13 April 2007 and you will be entered in the prize draw to win $1000 in petrol vouchers.
There are 3 ways to send in the information: Mail Complete this form, fold and post it back = 1 entry in the prize draw
Phone
Online
Phone our help desk on 0800 80 22 99 = 2 entries in the prize draw
Fill in the details at accu-chek.co.nz/update = 2 entries in the prize draw
you r privacy All customer information you provide is kept completely confidential and will be used only by Roche Diagnostics to provide you with further information and support for the use of your blood glucose meter. There will be important information coming about your meter in 2007 so please make sure your details are up to date. You can check and change any details we hold about you at any time by calling 0800 80 22 99.
How many times per day do you test your blood glucose? More than 4 times/day
4 times/day
3 times/day
Twice daily
Once a day
Other
How many days per week do you test your blood glucose? Please circle 1 2 3 4 5 6 7
Your contact numbers: Area Code
(
)
Number
Mobile
pri z e draw
Your email address: All customers updating their information by 13 April 2007 will be entered into a prize draw to win $1000 petrol vouchers. Customers providing their information by phone or online will receive 2 entries into the prize draw. One name will be drawn from all entries at 5pm, 16 April 2007. The winner will be notified by 20 April 2007.
You will receive early updates and information about your meter and blood glucose testing. Please note that we do not send spam or unnecessary emails. We also have a very popular e-newsletter which you can request below.
E-newsletter: Yes, please send me the e-newsletter once a month.
customer i n formation
Your name and address:
Which diabetes do you have? Type 1
Type 2
Roz Vickerman Sample Address Line 1 Sample Address Line 2 Sample Address Line 3 Sample Address Line 4
Diabetes in pregnancy (gestational diabetes) Unsure
What year were you diagnosed? (Or approximate number of years since you were diagnosed)
Do you use insulin? Yes
No
First name
IS THIS CORRECT? Please write correct details below if we have your name or address wrong.
Surname
Street & Number
Do you use an insulin pump? Yes
No
Suburb City
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FOLD HERE
FreePost Authority Number 91981
Roche Diagnostics NZ Ltd PO Box 62-089 Mt Wellington Auckland.
FOLD HERE
To return your entry by post
1: TEAR OFF At the perforated line. 2: FOLD Where indicated (with post details to outside).
3: GLUE By moistening the glue strips provided.
4: POST Simply drop in the post, it’s free.