"Lot 8" Quick-set® Infusion Sets

I have unused "Lot 8" Quick-set infusion sets

STEP 1: Let us know how many "Lot 8" Quick-set infusion sets you have.

Full Boxes (10 Per Box) Individual Infusion Set(s) in addition to the full boxes indicated above

STEP 2: Indicate which type of Quick-set infusion sets you prefer for your next shipment:

MMT-396 (43" tubing, 9mm cannula) MMT-398 (43" tubing, 6mm cannula) MMT-397 (23" tubing, 9mm cannula) MMT-399 (23" tubing, 6mm cannula)

STEP 3: Let us know your customer details.

First Name: Last Name: Phone:

() –

Email: Date of birth: Pump Serial:

How do I find this?

Address:
City: State: Zip:

STEP 4: Return your unused "Lot 8" Quick-set infusion sets.

Check this box if you need a pre-paid return label. By checking this box, we will provide you with a prepaid return label along with your next shipment.

In order to serve all of our customers, replacement box(es) will be shipped at no additional charge at the rate of one box every three weeks based upon the number of unused "Lot 8" Quick-set infusion sets you return.

If you purchased your "Lot 8" Quick-set infusion sets from another company, please contact that supplier to arrange for product return and replacements.

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Yes, I am at least (13) years of age or older

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