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Back Brace
Yes  No
Love your life without lower radiating back pain!
If you have Medicare, fill out this form and get your back brace today. By checking yes, I authorize US MED and its affiliates to contact me by email or phone about my medical supply needs. Only Medicare accepted. Privacy Policy
Back Brace
Yes  No
Need a Back Brace and on Medicare?

By clicking YES you agree to be called, emailed or texted by USA Health Initiatives using automated technology at the number and email address you provided, even if you are on the do not call list, do not email list or provided a wireless number. This consent is not required for purchase.

Phone Number:
Direct Pharmacy
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Are you or anyone in your family a Diabetic and have private insurance or Medicare Advantage and would like diabetic supplies sent to your home? If you choose yes, you consent for Direct Pharmacy Source to contact your doctor for the appropriate prescription.

Great! Please confirm the following information to continue:

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By entering your phone number and clicking "Continue" or "Submit", you are providing electronic signature expressly authorizing and consenting to receive calls (including calls from an automated telephone dialing system or call containing pre-recorded messaging to your land line or wireless phone) from or on behalf of Direct Pharmacy Source, Cape Pharmacy, Kim Long Pharmacy and Hollis Prescription Center even if this number is listed on any Do Not Call registry. You understand that you are not equired to provide your consent as a condition of purchasing any product or services.
Knee Brace
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Love your life without knee pain! If you have Medicare, fill out this form and get your knee brace today. By checking yes, I authorize US MED and its affiliates to contact me by email or phone about my medical supply needs. Only Medicare accepted.
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Diabetic Meter
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New Diabetes Meter (Talking Meter or the World's Smallest Meter - your choice), Diabetic Cookbook, and Discount Prescription Card.
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Obesity Study
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Do you or a loved one struggle with your weight and worry about your health? Local research studies may offer payment/compensation up to $1000. Learn more.
Baby2Body
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Pregnant or a new mom? Baby2Body helps you live better. We offer advice on everything you need to know, when you need to know it – about your fitness, nutrition, wellbeing, style, and your baby’s development.

With digestible tips, quick recipes, and research-led guidance, Baby2Body is all you need to have a happy, healthy motherhood journey – and in turn, a happy, healthy baby. Subscribe for free today and get tips, inspiration, and motivation straight to your inbox.
Baby's Due Date or DOB:
MyGerber
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MyGerber - For Mom. For Baby. From the beginning.
Packed with tailored content, personalized features and interactive tools, MyGerber takes you on a journey that helps make early childhood nutrition simple. Join MyGerber today!
Market Traders Institute
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Get the eBook, "The Ultimate Trader's Guide to Gartley Pattern Profits" for FREE in this limited time offer and learn tactics for using the proven and trusted Fibonacci golden ratio to find executable positions in a Gartley Pattern.
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IRS Tax Debt
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IRS Tax Debt Of More Than $10,000?

Select "Yes" If You Owe More Than $10,000 To The IRS! End Penalties & Interest, Stop Bank Levies & Wage Garnishments. Get Out Of IRS Tax Debt FAST!

*I acknowledge that by clicking "Get Your Tax Resolution Now," I consent to receive prerecorded and/or robo-dialed telemarketing calls and by doing so I waive any registration on the DO NOT CALL list. I understand my consent is not an obligation of purchase.

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Medicare Supplement
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Save up to 65% on Medicare with Supplemental Insurance
Receive Medicare quotes from the top providers and let us assist you with finding a Medicare plan that fits your needs. Speak with a licensed agent today. No cost or obligation.
Phone Number:
Do you currently have a Medicare health plan such as an HMO or PPO?
Do you use tobacco?
Do you have any of the following preexisting health conditions, Cancer, Chronic Obstructive Pulmonary Disease (COPD) or Heart Disease?
I certify that I entered my own information, and give permission to be contacted at the phone number provided by autodialed calls and/or pre-recorded messages, and by email, by Guide2Insure, TZ Solutions, United Medicare Advisors, Cege, and their Partners about Medicare Supplemental Insurance, Arthritis, Back Pain, Diabetic, Sleep, Mobility and/or related Healthcare Products/Services*; regardless of my status on any State or Federal Do Not Call list. Consent is not a condition of purchase. *For insurance reimbursed offers; must qualify, deductibles and coinsurance may apply.
InboxDollars Desktop SOI - US
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Earn CASH for your online activities like searching the web, reading emails and taking surveys. Click “Yes” to start earning with InboxDollars and get a $5 signup Bonus now! Make sure to check your inbox for your confirmation email from InboxDollars!
Disney
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Order your FREE Disney Parks Vacation Planning DVD.
Privacy Policy
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LifeScript Healthy Advantage Newsletter
Get a FREE daily dose of news, advice and tips for better living, as well as LifeScript Daily Deals e-mails.
Yes  No
Do you suffer from Sleep Apnea?
Click here to see if you qualify for CPAP Supplies at Little or No Cost.
Yes  No
Have diabetes? On Medicare? You may qualify for a FREE Glucose Meter* and diabetes testing supplies at little or no cost †. See if you qualify.
Yes  No
Do You Suffer From Back Pain? Click Yes to receive a FREE consultation about non surgical solutions to back pain.

By checking this box, I hereby authorize permission for Infusion Resource and Alliance Health Networks to contact me by telephone or email to provide information on their products. Privacy Policy
Phone Number:
Gerber Life 'Grow Up Plan'
Yes  No
The Grow-Up® Plan from Gerber Life Insurance Company
Brighten your child's financial future with Gerber Life's Grow-Up® Plan

  • $5,000 to $50,000 of whole life insurance coverage
  • Low childhood premiums that never increase
  • Lifetime insurance protection for as little as pennies a day
  • Coverage automatically doubles during age 18. At no extra cost!

Get a FREE Child ID Safety Card and learn more via email from Gerber Life.
Gerber Life does not share personal information.

Home Office: White Plains, NY 10605

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Kellogg's Family Rewards
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Sign up for Kellogg's Family Rewards™ to receive the latest news, special offers and exclusive savings from Kellogg's. Privacy Policy
Prilosec
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Prilosec OTC provides 24 hours of zero heartburn with one pill a day.*
Bob Evans
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Join BEmail for a FREE dessert offer!
Yes, I want to join BEmail for my FREE dessert! BEmail gets you exclusive deals, offers and news, with just one click! Privacy Policy
Lantus
Yes  No
What 10 things should you know about meal planning?
Register now and find out with our FREE meal planning guide. You'll also receive information on insulin and blood sugar management.
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Medical Guardian
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Do you or your loved one need a medical alert system? Take advantage of this special internet offer. FREE equipment, NO set-up fees, and NO long-term contract. PLUS get a 2nd medical alert button FREE. Privacy Policy
The Home Depot
Yes  No
HOME SERVICES AND REPAIR FROM THE HOME DEPOT
Get your installation and repair projects done right with the help of The Home Depot. Our network of handpicked, experienced, licensed and insured local installation contractors stand ready to assist you with a broad range of home services, all backed by a minimum one-year warranty on labor. Privacy Policy
Western Union Prepaid MasterCard
Yes  No
The Western Union® NetSpend® Prepaid MasterCard®.
Get paychecks and your tax refund fast with direct deposit! Plus, send & receive WU® money transfers quickly! Issued by MetaBank®, Member FDIC. Privacy Policy Terms & Conditions
Bills.com
Yes  No
REFINANCE the time is Now!
Sign up with Bills.com and see if you could SAVE THOUSANDS a year! Privacy Policy
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How is your credit?
What's your 1st mortgage balance?
What's the estimated property value?
Submitting this form constitutes my signature and consent to be called by Bills.com at the telephone number(s) provided above (including wireless numbers) using automated dialing technology. This request is not required to make a purchase.

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