Diabete Ezy
 
 
 
 

Quick Enquiry

 
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Order Form
How to Order
1. Please select the products you require using the form above.
2. You will then be asked some questions relevant to your diabetes and or contact details.
3. For management plans, choose to upload a photo or alternatively email or post a photo to us.
4. Choose to pay online via a secure payment site called "Paymate Express", or pay via cheque, money order or direct deposit.
5. Your order will be submitted. Orders will be returned within 5-10 working days from receipt of payment.
Products
Product Price Quantity
Test-wipe Starter pack - 100 wipes (4 wipe refills plus dispenser box) $6.95  
Test-wipe Refill pack - 200 wipes (8 wipe refills) $10.95  
Ezy-fit Case - Metallic Blue $39.95  
Ezy-fit Case - Lime Green $39.95  
Ezy-fit Case - Watermelon Pink $39.95  
Medi-alert Dog Tags $19.95  
Dia-log-it Record Book $2.95  
Insulin Pump Accessories
When ordering the 2 pack or 3 pack Comfy Pump Belt, colours and sizes can not be varied.
Product     Price Quantity
3 Pack - Comfy Pump - Insulin pump belt - Navy, Cornflower Blue and White $69.95
3 Pack - Comfy Pump - Insulin pump belt - Navy, Milkshake Pink and White $69.95
2 Pack - Comfy Pump - Insulin pump belt - Navy and Cornflower Blue $54.95
2 Pack - Comfy Pump - Insulin pump belt - Navy and Milkshake Pink $54.95
2 Pack - Comfy Pump - Insulin pump belt - Navy and White $54.95
Comfy Pump - Insulin pump belt - Navy $29.95
Comfy Pump - Insulin pump belt - Milkshake Pink $29.95
Comfy Pump - Insulin pump belt - Cornflower Blue $29.95
Comfy Pump - Insulin pump belt - White $29.95
Please select your Comfy Pump size   
(Only one size can be selected per order)
         
  47cm   54cm   61cm   76cm   91cm
Personalised Diabetes Management Plans
Product 1st Copy Additional
Copies
Quantity
Home A4 Sheet $25.00 + $12.50
School/Work A4 Sheet $25.00 + $12.50
Away A4 Sheet $25.00 + $12.50
Bag Size (14x7cm) $15.00 + $7.50
Credit Card Size $15.00 + $7.50
Hypo Stickers - 2 Sheets (42 labels) $7.00  
Hypo Stickers - 5 Sheets (105 labels) $15.00  
Packages
Package Price Quantity
1 Home A4 sheet
2 School/Work A4 sheets
1 Bag Size Card
2 Credit Card Size
2 Hypo Kit Sticker Sheets (42 labels)
plus 2 FREE school/work sheets
and 1 FREE hypo kit sticker sheet (21 labels)
$107.00
1 Home A4 sheet
1 School/Work A4 sheet
1 Bag Size Card
1 Credit Card Size
plus FREE credit card size and 1 free bag size
$80.00
2 School/Work A4 sheets
2 Credit Card Size
plus FREE credit card size
$60.00
Pricing and Postage
All our prices are in Australian Dollar (AUD). All postage is calculated on the weight and destination of your order. The minimum postage and handling charge is $5.50.
Personalised Management Plan Existing Customers

If you have previously ordered management plans form Diabete-ezy your next order will continue from the price of your previous order. For example if you ordered 2 A4 School posters in 2005 and wanted to reorder 2 more A4 School posters in 2006 with no information changes, you will only be charged $12.50 each for these posters.

Information Changes

If photo or information changes are required within 12 months of your first order there will be no charge for the first change, only the cost of the new information sheets and cards will apply. After this period all changes will be charged a $7.50 fee, this will be added to the total price of your order.

Reference Number

This number is only required when reordering Personalised Diabetes Management Plans, it can be found on the bottom right of your A4 poster and the back bottom right of the cards.

Reference Number:   

If you wish to change the information on your sheet please tick the box below. Note that depending on what you order, and when you last ordered you may be charged for these changes.

Total
    $
Note: This total does not include postage costs.
Patient Type
Patient Type:     
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