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REQUEST WEBSITE LOGIN

Delivery Address:

Postal Address:

CONTACT DETAILS

Contact Person: (For Orders)

Contact Person: (For Accounts)

CREDIT PREFERENCES

COMPLETE THIS SECTION ONLY IF YOUR ELIGIBLE TO PURCHASE RESTRICTED MEDICINES

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Declaration:

Goods are invoiced on Dispatch. Payments required on the 20th of the month following invoice. We acknowledge that credit may be withdrawn at any time with accordance with Star Med’s conditions of sale. We acknowledge that we will notify Star Med of any change in ownership or management of our business no later than 14 days before that change comes in to affect. We accept Star Med’s conditions of sale and acknowledge a full copy of these will be received with our first order, if requested. We agree that all the goods supplied to us will remain the property of Star Med Ltd until fully paid for.


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