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Pharmacy Registration
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Registration Form
It is free to list on Medmate with no lock in contracts. Sign up and start receiving orders in 24 hours.
The Pharmacy warrants that:
- it has the authority and capacity to enter into and fulfil its obligations in accordance with these Terms;
- it is, and will remain, a licensed Pharmacy for the duration of these Terms; and
- it has, and will maintain, all necessary permits, licenses and registrations to operate as a Pharmacy for the duration of these Terms.
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BASIC subscription
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Please select your BASIC subscription payment plan
Monthly (No Commitment) - $60PM
Annual Commitment - $55PM (billed monthly)
Please select your subscription type for STANDARD subscription
Monthly (No Commitment) - $50PM
Annual Commitment - $45PM (billed monthly)
Please select your subscription type for PREMIUM subscription
Monthly (No Commitment) - $90PM
Annual Commitment - $85PM (billed monthly)
FEE TOTAL PER MONTH
Authorised Person
Name
*
First
Last
Email
*
Contact Phone Number
Pharmacy Details
Pharmacy Trading Name
*
Pharmacy Street Address
*
Suburb
State
*
VIC
NSW
QLD
SA
TAS
WA
ACT
NT
Postcode
*
Consent
Name of authorised person accepting Terms and Conditions
*
*
I agree to the Medmate
Terms and Conditions
and
Privacy Policy
.
Name
This field is for validation purposes and should be left unchanged.
© Copyright 2020 – Medmate
© Copyright 2020 – Medmate
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