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Are you a Distributor/Supplier of medical related goods

Are you a Healthcare facility/provider/clinic or other provider of healthcare services to patients? (ie hospital, clinic, healthcare office)

Distributor/Supplier

Name of Organization

Address of Organization

Street no.

City

Province

Country

Postal Code

Message: Contact us if you have an international address

Website of Company

input URL of website

MDEL

if you do not have an MDEL, please indicate why not

First Name

Last Name

Title of User

Email Address

please use your business email address

Phone number

where you can be reached at work

Choose your password

Confirm your Password

Healthcare facility/provider/clinic

Name of Facility

Address of Facility

Street no.

City

Province

Country

Postal Code

Website of Facility

input URL of website

First Name

Last Name

Title of User

Email Address

gmail, Hotmail, personal emails are not accepted

Phone number

where you can be reached at work

GST exempt

Choose your password

Confirm your Password

Subscription

You may subscribe with a free trial. Once your trial is over, your credit card will be charged the nominal annual subscription fee. You will have the opportunity to cancel before your credit card is charged. Once payment is processed, you will receive a receipt that you can submit for expense reimbursement. Receipts will also be issued for each applicable connection fee.

We use Stripe as our third-party payment partner. Your payment will be processed by Stripe.

Coupon Code Input coupon code: 2024FREE (Subscription period will end 3 months after the date joined)

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Company MedMate Inc
Subscription
($89.00 CAD regular price)
$00.00
GST/HST (0%) $00.00

You have to Pay

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