Order Form >> Individuals
 
  Individuals wishing to order the Sugar Test Blood Glucose Monitoring System, are requested to please furnish their details including quantity of required units, using this response form. Fields marked with (*) are mandatory.

Alternatively they may download the order form , fill in the details and send to CDIL.
( Adobe Acrobat Reader Required - Free Download)

A member from the Sugar-Test Team will contact you promptly with the appropriate acknowledgement
and also answer queries, that you may have.
 
 
  Title * :
  First Name * : Last Name * :
  Profession * :

Organisation :
  Residence Address * : Ship to Address (if different from residence address) :
  City * : City :
  Pincode * : Pincode :
  E-mail Id * :
  Telephone Number * : Mobile Number :
  Fax Number :
  Mode of Dispatch * :
Other Mode of Dispatch :
   
 
S.No. Item Description  Order Quantity Unit Price
in Rs. 		Amount
in Rs.
1. Sugar-Test® Blood Glucose Monitoring System, to include:
  (i) Blood Glucose Meter (1)
      
  (ii) Blood Glucose Test Strips (10)      
  (iii) Check Strip (1)      
  (iv) Lancing Device (1)      
  (v) Lancets (10)      
  (vi) Battery (1) (installed in meter)      
  (vii) Quick Reference Guide (Multilingual) (1)       
  (viii) Lancing Device Instructions (Multilingual) (1)      
  (ix) Carry Bag (1)      
  * Unit Price for order for one (1) Sugar-Test® System Rs. 2,149.
* Discount on order for 2 to 5 nos. of Rs. 107 per unit.
* Discount on order for 6 to 10 nos. of Rs. 151 per unit.		      
         
2. Test Strips for Sugar-Test® Blood Sugar Monitoring System, 
  container having 25 Test Strips (minimum one container to be       
  ordered  with each Blood Glucose Monitoring System).      
  Promotional offer - 25 lancets free with each container of 25      
  Test Strips (till stocks last).      
 

* Unit Price for each Container of 25 Test Strips for Sugar-Test®
   System - Rs. 575.

      
         
  Taxes: Prices are inclusive of  4% DVAT/CST.                       Total Amount Payable in Rs.

 
Terms & Conditions:
* Prices are ex-works, CDIL, New Delhi.
* Shipment charges including insurance extra, as per actual, to account of consignee, payable at destination.
* Order for the Sugar-Test should be for a minimum quantity of one (1) complete unit. 
* One refill container of 25 Test Strips is recommended to be ordered with each Sugar-Test Blood Glucose Monitoring System.
* The Quick Reference Guide and Lancing Device Instructions are in six (6) languages: English, Hindi, Urdu, Telugu, Tamil and    Bengali.
* On receiving order, CDIL shall issue an Invoice/Order Acknowledgement and dispatch the ordered units
   subject to realisation of payment, within two working days (subject to availability in stock), 
* Order to be accompanied with payment for full order value, favouring 'Continental Device India Ltd, New Delhi' by
   Demand Draft (DD), payable at New Delhi. Please send DD to Continental Device India Ltd., C-120 Naraina Industrial Area,    New Delhi – 110 028, India. Attention: Sugar-Test Team 
* Terms subject to change without prior notice.
 
 
 
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