Meter Information Mandatory fields are marked with * Meter Type*SelectFreeStyle Freedom Lite MeterFreestyle Lite MeterFreeStyle Optium MeterOptium Xceed MeterFreeStyle InsuLinx MeterFreeStyle Optium Neo Purchase Date* (DD/MM/YYYY)010203010203201320122011 Serial Number* e.g. XEMR450-P0980 Place of Purchase* SelectHospitalPharmacyGPOther Personal Information TitleSelectMr.Mrs.Ms.Dr.Prof. Date of Birth* (DD/MM/YYYY)010203010203201320122011 First Name* Last Name* Gender*SelectMaleFemale Email* Mobile* Area Code Phone Country* Street Name City/Suburb State SelectVICQLDNSWTASSANTWAACTOther Post Code Treatment Information Diabetes TypeSelectType 1Type 2GestationalPre-diabetesOther Year Diagnosed (YYYY)201320122011 Diabetes Treatment Insulin Injection Insulin-Pump Oral Medication No Treatment Number of Tests Consent Abbott Diabetes Care Inc. is collecting your personal information in order to phone, email, SMS and/or mail to you helpful information about diabetes and its related treatments, products and services, and for marketing and promotional purposes. We may also share your information with our affiliates and subsidiaries as well as authorised independent third parties who may assist us in collecting and processing information. The information provided by you may be transferred to other countries outside of your country for processing and storage purposes. We will not sell your personal data to any third party for their use. We may use the information as permitted in compliance with local law. I agree to the above collection, use and disclosure of my personal information for warranty & communication purposes. I agree to the above collection, use and disclosure of my personal information for warranty purposes only. SelectEmailPhone Your preferred contact method:* If you no longer want Abbott to use your personal data, you may contact our local Customer Care through email or our hotline to update your records. A confirmation email will be sent to you after clicking "Submit" to confirm that your message was sent successfully.