Fit4D

Coaching Session Registration Page

Because you were one of the first 100 people to register your Bayer CONTOUR® USB meter, you have won a free 20 minute call with a Fit4D diabetes Coach!  This is a great opportunity to speak with a Certified Diabetes Educator and get personalized feedback on any diabetes questions you may have - food, exercise or day to day diabetes management.

Simply fill in the below information. You will not be charged.

For more information on Bayer's CONTOUR® USB, go to bayercontourusb.com.  We hope you enjoy your new meter and enjoy your coaching session.

* = required information

* First Name:

* Last Name:

* Email:

* Confirm Email:

* Birth Date:

* Phone:

* Best time to call (EST):

* Type of coach requested
for consultation:

 I would like to schedule my
call on day/month/year		  

If other, please specify:

 * I agree to the terms and conditions