testerstripcash.com
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urlscan Pro
2606:4700:3035::6815:4de2
Public Scan
Submitted URL: http://testerstripcash.com/
Effective URL: https://testerstripcash.com/
Submission: On November 28 via api from US — Scanned from DE
Effective URL: https://testerstripcash.com/
Submission: On November 28 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST #
<form action="#" method="post" novalidate="novalidate" autocomplete="new-password">
<div class="tve_lead_generated_inputs_container tve_clearfix">
<div class="thrv_wrapper thrv-columns" style="--tcb-col-el-width:463.462;">
<div class="tcb-flex-row v-2 tcb--cols--1">
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element" data-label-for="tve-lg-173765cfede" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-17616a38402" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)" style=""><strong>Full Name*</strong></div>
</div>
<div class="tve_lg_input_container tve_lg_input tve_lg_regular_input tcb-plain-text tcb-no-clone" data-selector="#lg-kifebn3x .tve_lg_regular_input:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cf0" style=""
data-tcb_hover_state_parent="" data-label="tve-lg-173765cfede">
<input class="tcb-plain-text" type="text" data-field="name" name="name" placeholder="Full Name" data-placeholder="Full Name" style="" data-required="1" data-validation="" data-name="Full Name">
</div>
</div>
</div>
</div>
</div>
<div class="thrv_wrapper thrv-columns" style="--tcb-col-el-width:463.462;">
<div class="tcb-flex-row v-2 tcb--cols--2">
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element" data-label-for="tve-lg-173758fee5f" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cef" style="">
<div data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]:not(.tcb-excluded-from-group-item) .tcb-plain-text:not(.tcb-excluded-from-group-item)" class="tcb-plain-text" style=""><strong>Email Address*</strong></div>
</div>
<div class="tve_lg_input_container tve_lg_input tve_lg_regular_input tcb-plain-text tcb-no-clone tcb-no-delete tcb-excluded-from-group-item" data-selector="#lg-kifebn3x .tve_lg_regular_input#lg-kinhhlwz" data-css="tve-u-17616a13cf0"
style="" data-tcb_hover_state_parent="" data-label="tve-lg-173758fee5f" id="lg-kinhhlwz">
<input class="tcb-plain-text" type="email" data-field="email" data-required="1" data-validation="email" name="email" placeholder="Email Address" data-placeholder="Email Address" style="" data-name="Email">
</div>
</div>
</div>
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element" data-label-for="tve-lg-173a00b0172" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cef" style="">
<div data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]:not(.tcb-excluded-from-group-item) .tcb-plain-text:not(.tcb-excluded-from-group-item)" class="tcb-plain-text" style=""><strong>Phone*</strong></div>
</div>
<div class="tve_lg_input_container tve_lg_input tve_lg_regular_input tcb-plain-text" data-selector="#lg-kifebn3x .tve_lg_regular_input:not(.tcb-excluded-from-group-item)" style="" data-tcb_hover_state_parent=""
data-label="tve-lg-173a00b0172" data-css="tve-u-17616a13cf0">
<input class="tcb-plain-text" name="phone" placeholder="Phone Number" data-field="phone" data-required="1" data-validation="" data-placeholder="Phone Number" data-name="Phone" type="text" style="">
</div>
</div>
</div>
</div>
</div>
<div class="thrv_wrapper thrv-columns" style="--tcb-col-el-width:463.462;">
<div class="tcb-flex-row v-2 tcb--cols--2">
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element tcb-excluded-from-group-item" data-label-for="tve-lg-173a00b47d4" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-17616d3a7af" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)" style=""><strong>BRAND</strong></div>
</div>
<div class="tve_lg_input_container tcb-plain-text tve-new-dropdown tcb-local-vars-root tve_lg_dropdown" data-show-placeholder="1" data-style="default" data-icon="style_1" data-label="tve-lg-173a00b47d4" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cf0">
<div class="thrive-colors-palette-config" style="display: none !important"></div>
<input type="text" style="position: absolute; opacity: 0;" autocomplete="off" readonly="readonly" name="mapping_textarea_92" placeholder="Please Select One" data-field="mapping_select" data-required="1" data-validation=""
data-placeholder="Please Select One" data-name="Brand" data-mapping="YTowOnt9">
<a class="tve-lg-dropdown-trigger tcb-plain-text" tabindex="-1">
<span class="tve-disabled-text-inner">Please Select One</span>
<span class="tve-item-dropdown-trigger">
<svg xmlns="http://www.w3.org/2000/svg" class="tve-dropdown-icon-up" viewBox="0 0 320 512"><path d="M151.5 347.8L3.5 201c-4.7-4.7-4.7-12.3 0-17l19.8-19.8c4.7-4.7 12.3-4.7 17 0L160 282.7l119.7-118.5c4.7-4.7 12.3-4.7 17 0l19.8 19.8c4.7 4.7 4.7 12.3 0 17l-148 146.8c-4.7 4.7-12.3 4.7-17 0z"></path></svg>
</span>
</a>
<ul class="tve-lg-dropdown-list" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-list:not(.tcb-excluded-from-group-item)">
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Accu-Chek Aviva Plus - 100ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Accu-Chek Aviva Plus - 100ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Accu-Chek Aviva Plus - 50ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Accu-Chek Aviva Plus - 50ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Accu-Chek Aviva Plus - 50ct Mail Order" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Accu-Chek Aviva Plus - 50ct Mail Order</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Accu-Chek Compact 51 - Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Accu-Chek Compact 51 - Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Accu-Chek Aviva Smartview - 100ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Accu-Chek Aviva Smartview - 100ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Accu-Chek Aviva Smartview - 50ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Accu-Chek Aviva Smartview - 50ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Accu-Chek Aviva Smartview - 50ct Mail Order" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Accu-Chek Aviva Smartview - 50ct Mail Order</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Accu-Chek Guide 100ct" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Accu-Chek Guide 100ct</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Accu-Chek Guide 50ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Accu-Chek Guide 50ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Contour - 7090 - 100ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Contour - 7090 - 100ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Contour - 7080G - 50ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Contour - 7080G - 50ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Contour Next - 7312 - 100ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Contour Next - 7312 - 100ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Contour Next - 7311 - 50ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Contour Next - 7311 - 50ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="FreeStyle - 100ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">FreeStyle - 100ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="FreeStyle - 50ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">FreeStyle - 50ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="FreeStyle Lite - 100ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">FreeStyle Lite - 100ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="FreeStyle Lite - 50ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">FreeStyle Lite - 50ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="FreeStyle InsulinX - 100ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">FreeStyle InsulinX - 100ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="FreeStyle InsulinX - 50ct Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">FreeStyle InsulinX - 50ct Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="FreeStyle Libre 14-Day Sensor" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">FreeStyle Libre 14-Day Sensor</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Dexcom G6 Glucose Sensor(3pk)" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Dexcom G6 Glucose Sensor(3pk)</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Dexcom G6 Transmitter" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Dexcom G6 Transmitter</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Omnipod 10 Pack Pods" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Omnipod 10 Pack Pods</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Omnipod 5 Pack Pods" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Omnipod 5 Pack Pods</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Omnipod Dash 10 Pack Pods" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Omnipod Dash 10 Pack Pods</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Omnipod Dash 5 Pack Pods" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Omnipod Dash 5 Pack Pods</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Humulin 70/30" style="" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)">
<span class="tve-input-option-text tcb-plain-text tve-froala fr-box">Humulin 70/30</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Humulin 70/30 KwikPen 100U 15ml" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Humulin 70/30 KwikPen 100U 15ml</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Humulin N" style="" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Humulin N</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Humulin N KwikPen 100U 15ml" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Humulin N KwikPen 100U 15ml</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Humulin R" style="" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Humulin R</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Novolin 70/30" style="" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)">
<span class="tve-input-option-text tcb-plain-text tve-froala fr-box">Novolin 70/30</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Novolin N" style="" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Novolin N</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Novolin R" style="" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Novolin R</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="OneTouch Ultra 100ct - Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">OneTouch Ultra 100ct - Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="OneTouch Ultra 50ct - Mail Order" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">OneTouch Ultra 50ct - Mail Order</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="OneTouch Ultra 50ct - Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">OneTouch Ultra 50ct - Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="OneTouch Verio 100ct - Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">OneTouch Verio 100ct - Retail</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="OneTouch Verio 50ct - Retail" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">OneTouch Verio 50ct - Retail</span></li>
</ul>
</div>
</div>
</div>
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element tcb-excluded-from-group-item" data-label-for="tve-lg-17616a509a8" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-17616f705cf" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)" style=""><strong>How many boxes</strong></div>
</div>
<div class="tve_lg_input_container tcb-plain-text tve-new-dropdown tcb-local-vars-root tve_lg_dropdown" data-show-placeholder="1" data-style="default" data-icon="style_1" data-label="tve-lg-17616a509a8" style=""
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item)">
<div class="thrive-colors-palette-config" style="display: none !important"></div>
<input type="text" style="position: absolute; opacity: 0;" autocomplete="off" readonly="readonly" name="mapping_textarea_826" placeholder="Please Select One" data-field="mapping_select" data-required="1" data-validation=""
data-placeholder="Please Select One" data-name="How May Boxes" data-mapping="YTowOnt9">
<a class="tve-lg-dropdown-trigger tcb-plain-text" tabindex="-1">
<span class="tve-disabled-text-inner">Please Select One</span>
<span class="tve-item-dropdown-trigger">
<svg xmlns="http://www.w3.org/2000/svg" class="tve-dropdown-icon-up" viewBox="0 0 320 512"><path d="M151.5 347.8L3.5 201c-4.7-4.7-4.7-12.3 0-17l19.8-19.8c4.7-4.7 12.3-4.7 17 0L160 282.7l119.7-118.5c4.7-4.7 12.3-4.7 17 0l19.8 19.8c4.7 4.7 4.7 12.3 0 17l-148 146.8c-4.7 4.7-12.3 4.7-17 0z"></path></svg>
</span>
</a>
<ul class="tve-lg-dropdown-list" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-list:not(.tcb-excluded-from-group-item)">
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="1" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">1</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="2" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">2</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="3" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">3</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="4" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">4</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="5" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">5</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="6" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">6</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="7" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">7</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="8" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">8</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="9" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">9</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="10" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">10</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="11" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">11</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="12" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">12</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="13" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">13</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="14" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">14</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="15" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">15</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="16" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">16</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="17" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">17</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="18" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">18</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="19" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">19</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="20+" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">20+</span></li>
</ul>
</div>
</div>
</div>
</div>
</div>
<div class="thrv_text_element tcb-excluded-from-group-item" data-label-for="tve-lg-17616bb9fd7" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-17616f966ae" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)" style=""><strong>Expiration year</strong></div>
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)" style=""><br></div>
</div>
<div class="tve_lg_input_container tcb-plain-text tve-new-dropdown tcb-local-vars-root tve_lg_dropdown" data-show-placeholder="1" data-style="style-2" data-icon="style_1" data-label="tve-lg-17616bb9fd7"
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cf0" style="">
<div class="thrive-colors-palette-config" style="display: none !important"></div>
<input type="text" style="position: absolute; opacity: 0;" autocomplete="off" readonly="readonly" name="mapping_select_260" placeholder="Please Select One" data-field="mapping_select" data-required="1" data-validation=""
data-placeholder="Please Select One" data-name="Expiration Year" data-mapping="YTowOnt9">
<a class="tve-lg-dropdown-trigger tcb-plain-text" tabindex="-1">
<span class="tve-disabled-text-inner">Please Select One</span>
<span class="tve-item-dropdown-trigger">
<svg xmlns="http://www.w3.org/2000/svg" class="tve-dropdown-icon-up" viewBox="0 0 320 512"><path d="M151.5 347.8L3.5 201c-4.7-4.7-4.7-12.3 0-17l19.8-19.8c4.7-4.7 12.3-4.7 17 0L160 282.7l119.7-118.5c4.7-4.7 12.3-4.7 17 0l19.8 19.8c4.7 4.7 4.7 12.3 0 17l-148 146.8c-4.7 4.7-12.3 4.7-17 0z"></path></svg>
</span>
</a>
<ul class="tve-lg-dropdown-list" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-list:not(.tcb-excluded-from-group-item)">
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Before 9/2021" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Before 9/2021</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="After 9/2021" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">After 9/2021</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="2022" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">2022</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="2023" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">2023</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="2024" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">2024</span></li>
</ul>
</div>
<div class="thrv_wrapper thrv-columns" style="--tcb-col-el-width:463.462;">
<div class="tcb-flex-row v-2 tcb--cols--2">
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element tcb-excluded-from-group-item" data-label-for="tve-lg-17617042496" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-176170c08aa" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)" style=""><strong>how would you like to be paid?</strong></div>
</div>
<div class="tve_lg_input_container tcb-plain-text tve-new-dropdown tcb-local-vars-root tve_lg_dropdown" data-show-placeholder="1" data-style="style-2" data-icon="style_1" data-label="tve-lg-17617042496"
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item)" style="" data-css="tve-u-17616a13cf0">
<div class="thrive-colors-palette-config" style="display: none !important"></div>
<input type="text" style="position: absolute; opacity: 0;" autocomplete="off" readonly="readonly" name="mapping_select_625" placeholder="Please Select One" data-field="mapping_select" data-required="1" data-validation=""
data-placeholder="Please Select One" data-name="How Would You Like To Be Paid" data-mapping="YTowOnt9">
<a class="tve-lg-dropdown-trigger tcb-plain-text" tabindex="-1">
<span class="tve-disabled-text-inner">Please Select One</span>
<span class="tve-item-dropdown-trigger">
<svg xmlns="http://www.w3.org/2000/svg" class="tve-dropdown-icon-up" viewBox="0 0 320 512"><path d="M151.5 347.8L3.5 201c-4.7-4.7-4.7-12.3 0-17l19.8-19.8c4.7-4.7 12.3-4.7 17 0L160 282.7l119.7-118.5c4.7-4.7 12.3-4.7 17 0l19.8 19.8c4.7 4.7 4.7 12.3 0 17l-148 146.8c-4.7 4.7-12.3 4.7-17 0z"></path></svg>
</span>
</a>
<ul class="tve-lg-dropdown-list" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-list:not(.tcb-excluded-from-group-item)">
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="ePay - Instant" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">ePay - Instant</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Paper Check 3-4 Days" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)">
<span class="tve-input-option-text tcb-plain-text">Paper Check 3-4 Days</span></li>
</ul>
</div>
</div>
</div>
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element tcb-excluded-from-group-item" data-label-for="tve-lg-1761704bdb9" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-176170d3528" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)" style=""><strong>how will you ship your strips?</strong></div>
</div>
<div class="tve_lg_input_container tcb-plain-text tve-new-dropdown tcb-local-vars-root tve_lg_dropdown" data-show-placeholder="1" data-style="style-2" data-icon="style_1" data-label="tve-lg-1761704bdb9"
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cf0" style="">
<div class="thrive-colors-palette-config" style="display: none !important"></div>
<input type="text" style="position: absolute; opacity: 0;" autocomplete="off" readonly="readonly" name="mapping_select_181" placeholder="Please Select One" data-field="mapping_select" data-required="1" data-validation=""
data-placeholder="Please Select One" data-name="How Do You Want To Ship Your Strips" data-mapping="YTowOnt9">
<a class="tve-lg-dropdown-trigger tcb-plain-text" tabindex="-1">
<span class="tve-disabled-text-inner">Please Select One</span>
<span class="tve-item-dropdown-trigger">
<svg xmlns="http://www.w3.org/2000/svg" class="tve-dropdown-icon-up" viewBox="0 0 320 512"><path d="M151.5 347.8L3.5 201c-4.7-4.7-4.7-12.3 0-17l19.8-19.8c4.7-4.7 12.3-4.7 17 0L160 282.7l119.7-118.5c4.7-4.7 12.3-4.7 17 0l19.8 19.8c4.7 4.7 4.7 12.3 0 17l-148 146.8c-4.7 4.7-12.3 4.7-17 0z"></path></svg>
</span>
</a>
<ul class="tve-lg-dropdown-list" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-list:not(.tcb-excluded-from-group-item)">
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Receive A Free Shipping Kit"
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Receive A Free Shipping Kit</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Print Your Free Label & Pack Myself"
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Print Your Free Label & Pack Myself</span></li>
</ul>
</div>
</div>
</div>
</div>
</div>
<div class="thrv_wrapper thrv-columns" style="--tcb-col-el-width:463.462;">
<div class="tcb-flex-row v-2 tcb--cols--2">
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element" data-label-for="tve-lg-1761705fb08" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-176170fe666" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)"><strong>ADDRESS</strong></div>
</div>
<div class="tve_lg_input_container tve_lg_input tve_lg_regular_input tcb-plain-text" data-label="tve-lg-1761705fb08" data-selector="#lg-kifebn3x .tve_lg_regular_input:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cf0"
style="">
<input class="tcb-plain-text" name="mapping_text_872" placeholder="Enter Address" data-field="mapping_text" data-required="1" data-validation="" data-placeholder="Enter Address" data-name="Address" data-mapping="YTowOnt9" type="text"
style="">
</div>
</div>
</div>
<div class="tcb-flex-col" data-css="tve-u-176462b9584" style="">
<div class="tcb-col">
<div class="thrv_text_element" data-label-for="tve-lg-176462b85c8" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-17616a38402" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text">Apartment#</div>
</div>
<div class="tve_lg_input_container tve_lg_input tve_lg_regular_input tcb-plain-text" data-selector="#lg-kifebn3x .tve_lg_regular_input:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cf0" data-label="tve-lg-176462b85c8">
<input class="tcb-plain-text" name="mapping_text_981" placeholder="Apt. or Suite Number" data-field="mapping_text" data-required="0" data-validation="" data-placeholder="Apt. or Suite Number" data-name="Apt. or Suite Number"
data-mapping="YToxOntzOjY6ImF3ZWJlciI7czoxOiIxIjt9" type="text">
</div>
</div>
</div>
</div>
</div>
<div class="thrv_wrapper thrv-columns" style="--tcb-col-el-width:463.462;">
<div class="tcb-flex-row v-2 tcb--cols--2">
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element tcb-excluded-from-group-item" data-label-for="tve-lg-176326fbadb" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-176170fe666" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)" style=""><strong>city</strong></div>
</div>
<div class="tve_lg_input_container tve_lg_input tve_lg_regular_input tcb-plain-text" data-selector="#lg-kifebn3x .tve_lg_regular_input:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cf0" data-label="tve-lg-176326fbadb"
style="">
<input class="tcb-plain-text" name="mapping_text_892" placeholder="Enter City" data-field="mapping_text" data-required="1" data-validation="" data-placeholder="Enter City" data-name="City" type="text" style="" data-mapping="YTowOnt9">
</div>
</div>
</div>
<div class="tcb-flex-col">
<div class="tcb-col">
<div class="thrv_text_element" data-label-for="tve-lg-1761706f016" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm" data-css="tve-u-17616a38402" style="" id="lg-ki3u99xm">
<div class="tcb-plain-text" data-selector="#lg-kifebn3x .thrv_text_element[data-label-for]#lg-ki3u99xm .tcb-plain-text:not(.tcb-excluded-from-group-item)" style=""><strong>state</strong></div>
</div>
<div class="tve_lg_input_container tcb-plain-text tve-new-dropdown tcb-local-vars-root tve_lg_dropdown" data-show-placeholder="1" data-style="style-2" data-icon="style_1" data-label="tve-lg-1761706f016"
data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item)" data-css="tve-u-17616a13cf0" style="">
<div class="thrive-colors-palette-config" style="display: none !important"></div>
<input type="text" style="position: absolute; opacity: 0;" autocomplete="off" readonly="readonly" name="mapping_select_38" placeholder="Please Select One" data-field="mapping_select" data-required="1" data-validation=""
data-placeholder="Please Select One" data-name="Select State" data-mapping="YTowOnt9">
<a class="tve-lg-dropdown-trigger tcb-plain-text" tabindex="-1">
<span class="tve-disabled-text-inner">Please Select One</span>
<span class="tve-item-dropdown-trigger">
<svg xmlns="http://www.w3.org/2000/svg" class="tve-dropdown-icon-up" viewBox="0 0 320 512"><path d="M151.5 347.8L3.5 201c-4.7-4.7-4.7-12.3 0-17l19.8-19.8c4.7-4.7 12.3-4.7 17 0L160 282.7l119.7-118.5c4.7-4.7 12.3-4.7 17 0l19.8 19.8c4.7 4.7 4.7 12.3 0 17l-148 146.8c-4.7 4.7-12.3 4.7-17 0z"></path></svg>
</span>
</a>
<ul class="tve-lg-dropdown-list" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-list:not(.tcb-excluded-from-group-item)">
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Alabama" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Alabama</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Alaska" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Alaska</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Arizona" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Arizona</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Arkansas" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Arkansas</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="California" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">California</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Colorado" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Colorado</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Connecticut" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Connecticut</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Delaware" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Delaware</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Florida" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Florida</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Georgia" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Georgia</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Hawaii" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Hawaii</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Idaho" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Idaho</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Illinois" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Illinois</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Indiana" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Indiana</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Iowa" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Iowa</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Kansas" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Kansas</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Kentucky" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Kentucky</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Louisiana" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Louisiana</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Maine" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Maine</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Maryland" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Maryland</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Massachusetts" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Massachusetts</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Michigan" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Michigan</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Minnesota" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Minnesota</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Mississippi" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Mississippi</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Missouri" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Missouri</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Montana" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Montana</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Nebraska" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Nebraska</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Nevada" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Nevada</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="New Hampshire" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">New Hampshire</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="New Jersey" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">New Jersey</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="New Mexico" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">New Mexico</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="New York" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">New York</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="North Carolina" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">North Carolina</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="North Dakota" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">North Dakota</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Ohio" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Ohio</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Oklahoma" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Oklahoma</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Oregon" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Oregon</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Pennsylvania" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Pennsylvania</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Rhode Island" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Rhode Island</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="South Carolina" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">South Carolina</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="South Dakota" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">South Dakota</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Tennessee" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Tennessee</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Texas" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Texas</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Utah" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Utah</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Vermont" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Vermont</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Virginia" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Virginia</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Washington" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Washington</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="West Virginia" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">West Virginia</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Wisconsin" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text tve-froala fr-box">Wisconsin</span></li>
<li class="tve-lg-dropdown-option" data-label-value="1" data-value="Wyoming" data-selector="#lg-kifebn3x .tve_lg_dropdown:not(.tcb-excluded-from-group-item) .tve-lg-dropdown-option:not(.tcb-excluded-from-group-item)"><span
class="tve-input-option-text tcb-plain-text">Wyoming</span></li>
</ul>
</div>
</div>
</div>
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* How It Works * Instructions * What We Pay * FAQS CALL NOW SELL YOUR DIABETIC TEST STRIPS FOR CASH * Request Your Free Mail In Kit * Ship Us Your Diabetic Supplies * We Send You Payment REQUEST A FREE MAIL KIT Full Name* Email Address* Phone* BRAND Please Select One * Accu-Chek Aviva Plus - 100ct Retail * Accu-Chek Aviva Plus - 50ct Retail * Accu-Chek Aviva Plus - 50ct Mail Order * Accu-Chek Compact 51 - Retail * Accu-Chek Aviva Smartview - 100ct Retail * Accu-Chek Aviva Smartview - 50ct Retail * Accu-Chek Aviva Smartview - 50ct Mail Order * Accu-Chek Guide 100ct * Accu-Chek Guide 50ct Retail * Contour - 7090 - 100ct Retail * Contour - 7080G - 50ct Retail * Contour Next - 7312 - 100ct Retail * Contour Next - 7311 - 50ct Retail * FreeStyle - 100ct Retail * FreeStyle - 50ct Retail * FreeStyle Lite - 100ct Retail * FreeStyle Lite - 50ct Retail * FreeStyle InsulinX - 100ct Retail * FreeStyle InsulinX - 50ct Retail * FreeStyle Libre 14-Day Sensor * Dexcom G6 Glucose Sensor(3pk) * Dexcom G6 Transmitter * Omnipod 10 Pack Pods * Omnipod 5 Pack Pods * Omnipod Dash 10 Pack Pods * Omnipod Dash 5 Pack Pods * Humulin 70/30 * Humulin 70/30 KwikPen 100U 15ml * Humulin N * Humulin N KwikPen 100U 15ml * Humulin R * Novolin 70/30 * Novolin N * Novolin R * OneTouch Ultra 100ct - Retail * OneTouch Ultra 50ct - Mail Order * OneTouch Ultra 50ct - Retail * OneTouch Verio 100ct - Retail * OneTouch Verio 50ct - Retail How many boxes Please Select One * 1 * 2 * 3 * 4 * 5 * 6 * 7 * 8 * 9 * 10 * 11 * 12 * 13 * 14 * 15 * 16 * 17 * 18 * 19 * 20+ Expiration year Please Select One * Before 9/2021 * After 9/2021 * 2022 * 2023 * 2024 how would you like to be paid? Please Select One * ePay - Instant * Paper Check 3-4 Days how will you ship your strips? Please Select One * Receive A Free Shipping Kit * Print Your Free Label & Pack Myself ADDRESS Apartment# city state Please Select One * Alabama * Alaska * Arizona * Arkansas * California * Colorado * Connecticut * Delaware * Florida * Georgia * Hawaii * Idaho * Illinois * Indiana * Iowa * Kansas * Kentucky * Louisiana * Maine * Maryland * Massachusetts * Michigan * Minnesota * Mississippi * Missouri * Montana * Nebraska * Nevada * New Hampshire * New Jersey * New Mexico * New York * North Carolina * North Dakota * Ohio * Oklahoma * Oregon * Pennsylvania * Rhode Island * South Carolina * South Dakota * Tennessee * Texas * Utah * Vermont * Virginia * Washington * West Virginia * Wisconsin * Wyoming zip code Comments 0 of 350 I agree to the Important Instructions, Privacy Policy and Terms of this website. SEND MY FREE KIT IN CHICAGO AREA OR SUBURBS? - CLICK HERE - SCHEDULE A PICKUP FOR FAST PAYOUT WE ARE DIABETIC TEST STRIP BUYERS HOW IT WORKS STEP 1 Complete The Form And Request A FREE Shipping Kit STEP 2 Pack & Mail Us Your Strips In The FREE Mailing Kit. STEP 3 Get A Check Or A Deposit To Your Account! IMPORTANT INSTRUCTIONS Inspect and only send in sealed boxes. Do not remove pharmacy stickers as it will destroy the boxes Make Sure The Product Is Not Expired. The Longer The Date Before They Expire The Better. Place Your Boxes In Mail Kit & Pack In A Sturdy Box To Ensure The Test Strips Don't Get Damaged Give your package to your mail carrier or drop it off at the United State Post Office. GET PAID TODAY GET QUICK CASH FOR YOUR TEST STRIPS Prices below are for products with 8 months or more until expiration. Prices are 50% less if the expiration date is between 2-7 months from the ship date. Prices are Subject To Change At Anytime. $35 $10 $20 $18 $29 $120 $18 $10 $8 $22 $15 $70 $5 $5 $4 $15 $5 $70 $20 $14 $18 $60 $12 Save $16 $10 $10 $28 $100 $80 $40 $18 $5 $5 $15 $100 $50 $32 $10 GET PAID TODAY frequently Asked Questions HOW MUCH WILL YOU PAY ME? Please have a look at our pricing table above and if you have any further questions feel free to call us at 708-680-6454 or Send Us An Email HOW & WHEN WILL I BE PAID FOR THE SUPPLIES I SEND? We pay via business check by mail. Checks are typically mailed out within one business day of the time we receive your package and arrive within 2-8 business days thereafter, but may take longer depending on the postal service. DO I HAVE TO PAY FOR SHIPPING? No. When you request to sell us your supplies we mail you a package at our own expense, containing a return package and a prepaid shipping label. You do not incur any shipping costs when dealing with us whatsoever. SHOULD I REMOVE PRESCRIPTION LABELS ON BOXES BEFORE I SEND THEM IN? No. We will remove prescription labels in a way that does not damage the boxes, and destroy the label to protect your privacy. Feel free to use a magic marker to mark through identifying information if you’d like, but do not attempt to remove the label yourself as damage caused to the box by improper removal may disqualify your submission. CAN I SELL DIABETIC SUPPLIES THAT ARE EXPIRED, DAMAGED OR USED? No, we do not pay for expired, damaged or used supplies. WHAT IF I SEND YOU PRODUCT THAT IS NOT ON YOUR PRICE LIST? Please don't. We are paying to ship the mail kit, then ship the product back. We will not ship the product back. Please read the price list carefully. SELL YOUR UNUSED DIABETIC TEST STRIPS GET CASH FOR YOUR UNUSED TEST STRIPS BY GETTING THEM TO OTHER DIABETICS GET PAID TODAY Tester Strip Cash - Copyright © 2022 - Privacy Policy | Terms Want Cash For Your Test Strips?