Buy-It-Right Expression of Interest Form

Expression of Interest Form
Thank you for showing interest in Buy-It-Right!

To organise a demo or for further information, please complete the form below and one of our team members will be in contact with you.
Pharmacy Name *
Your Name *

First NameLast Name
Email*
Phone Number
Mobile Number
Who is your primary wholesaler?*
First line generics provider*
Point Of Sale (POS) Software*
Dispensary Software*
Which part of the store would you like to integrate with Buy It Right?*

Dispensary and Front of ShopDispensary onlyFront of Shop only
Do you required a demonstration of the Buy It Right software?

YesNo - I have already been taken through a demonstration and keen to move forward on next steps.
Please select a preferred date/time for a demo. Our team will try our best to arrange a demo on your preferred date and will be in contact with you to confirm.

DayMonthYear
Date
Hour MinutesAM/PM Option
Additional Comments/Questions
Should be Empty: