CONTOUR® and CONTOUR® NEXT Retail Preferred Pricing Registration

Dear Payless Customers,

In order for us to continue providing you with competitive pricing on Contour and Contour Next Products in the future, you must submit a signed Registration Form for your store. This is required by Ascensia.

There are two versions of the form linked below for you to choose from. You can complete it online on Contour's website or fax/email us the PDF form.

Please submit this as soon as possible. We cannot guarantee competitive prices for you without this form completed in a timely manner.

We appreciate your continued support.
Sincerely,

Payless Distributors

Select Payless Distributors as either the Primary or Secondary Authorized Wholesaler

and use your main phone number as your account number.

Send the completed PDF to:
Fax: 888-479-1362
or
Email: customerservice@paylessdistributors.com