SPOTdispensing Application Form

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First Name *

Surname *

NHS Email address *

Dispensary/GP Practice Name *

Dispensary Postcode *

Contact Phone Number *

Position

Dispenser

Dispensary Manager

Practice Manager

Other:

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Subscription type? *

Monthly, £30/month for 12 months by direct debit.

Annual Membership, £300 by direct debit reviewed annually.

Required

Are you a Dispex member? If so, leave your discount code below to access your discounted membership rate. (This only applies to annual membership accounts). *

NHS Email address for Payments and Invoicing receipts

I have read the terms and conditions and understand that my information will be passed to the SPOTdispensing supplier in order to process this request (you can change your mind at any point). *

By clicking the box below you are accepting the terms.

I agree.

Required

Terms & Conditions

Thank you for signing up to SPOTdispensing. In order for us to proceed with setting up an account, you agree to us storing and processing your data.

You acknowledge and agree that we are not responsible for the availability of any third party websites that we link to.

You agree to not share the information within these pages with anyone outside of your own NHS dispensary. This includes other suppliers, Wholesalers, Dispensaries or Pharmacies.

We do not endorse and shall not be held responsible for or liable for any content, advertising, products or services on or available from any linked websites.

We reserve the right immediately to terminate your use of SPOT dispensing if you breach or we have reasonable grounds to believe that you are likely to breach these terms and conditions or you otherwise engage in conduct which we determine in our sole discretion to be unacceptable.

The products and services that are available here are only available to NHS Dispensaries, they are not for use by third parties.

Completing this form additionally allows us to pass your details onto our SPOT preferred supplier. They may make contact to set up an account and once approved, set up the SPOT Order Pad and organise any relevant training.

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