INSULIN PUMPS:

CURRENTLY WE ARE ONLY ISSUING APPLICATIONS TO APPLICANTS WHO ARE VERY SERIOUS ABOUT ACQUIRING AN INSULIN PUMP.

GLUCOSE METERS AND STRIPS:

WE ARE NOT ISSUING APPLICATIONS FOR GLUCOSE METERS OR GLUCOSE STRIPS AT THIS TIME! WE ARE ACTIVELY ORGANIZING A T-SHIRT FUNDRAISER SO THAT WE CAN RAISE ENOUGH FUNDS TO RE-INSTATE THIS PROGRAM. YOU MAY SUBMIT YOUR "REQUEST" FOR AN APPLICATION FOR THE METERS OR STRIPS AND WE WILL PLACE YOU ON A WAITING LIST. ONCE WE RECEIVE THE FUNDING, WE WILL SEND YOU AN APPLICATION.

INSULIN PUMP SUPPLIES:

AT THIS TIME WE ARE NOT ISSUING APPLICATIONS FOR INSULIN PUMP SUPPLIES! YOU MAY SUBMIT YOUR "REQUEST" FOR AN APPLICATION FOR INSULIN PUMP SUPPLIES AND WE WILL PLACE YOU ON A WAITING LIST. ONCE WE RECEIVE INSULIN PUMP SUPPLIES, WE WILL SEND YOU AN APPLICATION.

PLEASE ALLOW YOUR SPAM FILTER TO ACCEPT OUR EMAIL ADDRESS: chuck@cr3.org

IF YOU OWN OR REPRESENT A BUSINESS THAT WOULD LIKE TO TO HELP FUND THESE PROJECTS, PLEASE CONTACT OUR OFFICE AT 919-303-6949 or chuck@cr3.org.

Name

Address

City

State

Zip

Phone, including area code

E-mail Address

How were you referred to us:

Supplies you are trying to acquire:

If you are looking to acquire an insulin pump, what is your time frame to get one:
Select oneAs soon as possibleOne MonthTwo months or longer

If you are looking to acquire insulin pump supplies, what is your time frame to get them:
Select oneAs soon as possibleOne MonthTwo months or longer

Comments: