Registration & Consent: Staying In Touch Email Campaign
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. *
Required
Your Name: *
Pharmacy Name: *
Pharmacy BHF / Practice Number: *
Pharmacy Contact Number: *
Pharmacy WhatsApp Number
Another way to communicate with your Patients. If you need assistance, contact us.
Pharmacy Email Address: *
I'd like to do the following:
Specify Pharmacy Delivery Information *
Trading Hours (Please specify in detail for all days of the week) *
Pharmacy Group Branding
A copy of your responses will be emailed to the address you provided.
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