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Win a Free OneTouch UltraMini Blood Glucose Monitoring System

Please complete the form by 11:59 p.m. Pacific Standard Time on January 31, 2008.

One entry per day per person. Five lucky winners will be chosen! Winners will be randomly chosen from website entries on February 1, 2009.

Contest is open to all U.S. and Canadian residents. Entrants must be 18 years old to enter.

Information provided in the entry form may be used for marketing purposes.

Guidelines: 

Please include a brief paragraph about how diabetes has affected your life in the entry form below. Professional writing is not required (your story will be edited for proper grammar, spelling and punctuation if needed), however, please review your tip before submitting to make sure it is worded the way you want it to be.  All Diabetes stories submissions will become the property of MamasHealth.com and will be listed in our "Community" section.  Your story WILL NOT include your name. You will be notified by e-mail if you win, so please make sure we have your correct email address.

Incomplete entries will not be entered into drawing


First Name
Last Name 
Street Address
City
State/Province Zip Code

Country

 
Age

Email Address

How had diabetes affected your life?

***Please fill out the entire form. Incomplete forms will not be entered into the contest.