![]() ![]() In this Registration and Authorization Form is true, correct, and current and (b) my checking of this box I have read, accept, and agree to abide by the Terms of UseĪnd the Authorized Professional Resale Agreement of Premier Research Labs, LP (“Agreement”),Īnd I represent and certify on behalf of the health professional reseller that (a) all of the information submitted An “ePharmacy” is a website, micro-site, or other mobile application that (i) is operated by a distributor in a distributor’s legal name or registered fictitious name, (ii) is primarily used to facilitate Product orders from end users on your behalf, (iii) requires the prospective end user to create an account with your preapproval and log-in to purchase the Products, and (iv) is operated in compliance with the terms and conditions set forth in the Premier Research Labs ePharmacy Online Guidelines, which are set forth in the Authorized Professional Resale Agreement of Premier Research Labs, LP.īy checking this box, I agree, on behalf of the health care practitioner reseller, as follows: Permissible Public Website Sales: If you presently sell or are interested in selling the PRL Products on your own proprietary website, the website must (i) be operated by you in your own legal or registered fictitious name, (ii) conspicuously state your legal name or registered fictitious name and contact information, (iii) not give the appearance that they are operated by PRL or any third party, (iv) have been registered with PRL through this Registration and Authorization Form, and (v) be operated in compliance with the Premier Research Labs Online Sales Guidelines, which are set forth in the Authorized Professional Resale Agreement of Premier Research Labs, LP.ĮPharmacy Sales: If you presently sell or are interested in selling the PRL Products through an “ePharmacy,” please also disclose it in the Authorization and registration Form. ![]() ![]() Please note that consent to sell the Products on online marketplaces (including but not limited to Amazon, eBay, and Walmart Marketplace) is not granted through this Registration and Authorization Form. ![]()
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