Contact-Activated Lancet Order Form

Contact-Activated Lancet Order Form
Order contact-activated lancets quickly and securely. Please provide your information and order details below.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Shipping Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact-Activated Lancets
prevnext( X )
Contact-Activated Lancet (Box of 100)
Sterile, single-use lancets with contact-activation for safe and easy blood sampling. Box contains 100 lancets.
$24.99QuantityGauge Size

Total
$0.00
Organization (if applicable)
Order Notes (optional)
Should be Empty: