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Registration form

What's your business called?

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Who should we talk to?

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Best email for us to contact you?

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And a phone number, just in case?

What kind of business are you running?

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What kind of business are you running?

A

Online Retailer

B

Pharmacy

C

Clinic or Practitioner

D

Health Store

E

NHS/University

F

Something Else

Got a website or social media page

Where are you based?

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VAT number or GPhC registration?

Roughly how much do you think you’ll order per month?

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Roughly how much do you think you’ll order per month?

A

20-50 boxes

B

51-100 Boxes

C

100+ Boxes

How did you hear about CDS22 or Probiotic.co.uk?

*

Anything else you want to ask or tell us?

*