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Thanks for helping us Achieve Change Together for Diabetes! Please provide your name and email address in the form below.

Every time you ACT for diabetes, you’ll be helping people with diabetes, as well as people who are currently or potentially at risk for diabetes.

Novo Nordisk Inc. (“Novo Nordisk”) understands protecting your personal and health information is very important. We do not share any personally identifiable or health information you give us with third parties for their own marketing use.

I understand from time to time Novo Nordisk’s Privacy Policy may change, and for the most recent version of the Privacy Policy, I should click here.

By checking “I Agree” and clicking SUBMIT, I consent that the information I am providing may be used by Novo Nordisk, its affiliates, or vendors to keep me informed about products, patient support services, special offers, or other opportunities that may be of interest to me via mail or email. These materials may contain information that markets or advertises Novo Nordisk products, goods, or services. Novo Nordisk may also combine the information I provide with information about me from third parties to better match these offers with my interests.

By checking this box, checking the “I Agree” box below, and clicking SUBMIT, I authorize Novo Nordisk to use auto-dialers, prerecorded messages, and artificial voice messages to contact me. I understand that these calls and text messages may market or advertise Novo Nordisk products, goods, or services. I understand that I am not required to consent to being contacted by phone or text message as a condition of any purchase of goods or services.

I may opt out at any time by clicking the unsubscribe link within any email I receive, by calling 1-877-744-2579, or by sending a letter with my request to Novo Nordisk Inc., 800 Scudders Mill Road, Plainsboro, New Jersey 08536.

By checking “I Agree” and clicking SUBMIT below, I am agreeing to Novo Nordisk’s Privacy Policy and to the terms above; and I also affirm that I am at least eighteen (18) years of age.

You must check the “I Agree” box and click SUBMIT to complete your registration. If you do not agree to the terms above, you may exit out of this page and we invite you to explore other areas of the site without registering. You may return to this page at any time to register.

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