Buy Diabetes Protection Plan Registration Form

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DIABETES PROTECTION PLAN

Name *

Mobile *

Date Of Birth *

Gender *

Male Female

Email *

Pincode *

Address1 *

Address2

State *

City *

Select Plan Validity

Click to Upgrade Plan

Monthly

Rs. 1800

when purchased
for 6 months

Yearly

Approx. 46% Off

Rs. 21600

Rs. 12000

Special Price (Rs.): Approx. 46% Off
1800/month x 12 months = ~~21600~~
1800/month x 12 months = 12000

IGST @18% (Rs.):

Grand Total (Rs.):

Click to Apply Coupon

Coupon Code

How Did You Connect

Consultant Code

Please Fill Your Details

DIABETES PROTECTION PLAN

Select Plan Validity

Click to Upgrade Plan

Rs. 1800

when purchased
for 6 months

Approx. 46% Off

Rs. 21600

Rs. 12000

Click to Add Extra Features

Click to Apply Coupon

Yes, I have read and understood OXXY Terms & Conditions and I agree with them.

Please Fill Your Details

DIABETES PROTECTION PLAN

Select Plan Validity

Click to Upgrade Plan

Rs. 1800

when purchased for 6 months

Approx. 46% Off

Rs. 21600

Rs. 12000

Click to Add Extra Features

Click to Apply Coupon

Yes, I have read and understood OXXY Terms & Conditions and I agree with them.

when purchased
for 6 months