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Registration & Consent: Staying In Touch Email Campaign
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Email
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Your email
Please complete the once off registration and consent form below in order for us to automatically advertise these campaigns to your customers on behalf of your Pharmacy.
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I hereby give consent. Let's get started!
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Your Name:
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Your answer
Pharmacy Name:
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Your answer
Pharmacy BHF / Practice Number:
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Your answer
Pharmacy Contact Number:
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Your answer
Pharmacy WhatsApp Number
Another way to communicate with your Patients. If you need assistance, contact us.
Your answer
Pharmacy Email Address:
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Your answer
I'd like to do the following:
(Tick to Email to Patients)
(Tick to Post to Facebook)
(Tick to Post on WeCare Web Page)
Specify Pharmacy Delivery Information
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Your answer
Trading Hours (Please specify in detail for all days of the week)
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Your answer
Pharmacy Group Branding
None (Generic)
Pharmacy at SPAR
Alpha Pharm
Link Pharmacy
Arrie Nel Pharmacy
The Local Choice
Other:
A copy of your responses will be emailed to the address you provided.
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