and

 

Present the

Diabetes Identification Program 2001

Every person in America today who suffers with diabetes should be wearing some type of identification, which speaks for you when you can't speak for yourself

In order to receive your free necklace

Print out this form and send with a self-addressed 34¢ stamped return envelope inside an envelope addressed to us the following way:

FREE DIABETES IDENTIFICATION NECKLACE
Diabetes Research and Wellness Foundation™
P. O. Box 96046
Washington, DC 20090-6046

Name:_____________________________________________________________

Address: ___________________________________________________________

City:____________________________      State_______       Zip___________

Email: ____________________________________________________________

 

Please allow 4-6 weeks for delivery

Click Here To Print This Form 

 

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