Buy-It-Right New Store Registration Form

New Store Registration Form
Contact Information

This information will also be used for the Buy It Right contract. Please ensure all information is accurate.
Pharmacy Name *
Company Trading Name *
Australia Business Number (ABN) *
Pharmacy Address*

Street Address

Street Address Line 2

SuburbState

Postcode
Company Trading Address (if different from Pharmacy Address)

Street Address

Street Address Line 2

SuburbState

Postcode
Pharmacy Contact Number *
Format: (00) 0000-0000.
Pharmacy Email*
Used as Buy IT Right Login, and to communicate to the store information about Buy IT Right. Please do not use a personal email where possible.
Buy IT Right Champion*

First NameLast Name
Buy IT Right Champion contact number to discuss configuration*
Please enter a valid phone number.Format: (000) 000-0000.
Pharmacist In-charge*

First NameLast Name
Retail Manager *

First NameLast Name
Best Contact Person for Contracts*

First NameLast Name
Email for Contracts (if different to Pharmacy Email)
example@example.com
Additional information required for Buy It Right setup
Which area of your store would you like to manage with Buy It Right?*
*Dispensary Plus includes supported OTC SKUs
Does your pharmacy offer DAA Services?*
If your Pharmacy does provide the Dose administration Aids service, one or our team will reach out to your Buy IT Right Champion to understand your process.
Banner/Buying Group:*
E.g. Advantage, Pharmacy Alliance, Terry White, Independent
If your Buying group is different to your banner group, please list your buying group below:
Are you an existing Exsell Warehouse Member?*
Ego Select ProgramReckitt PDE Program

Store Trading Hours*

Rows	Opening Time	Closing Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

POS Systems

Currently Buy IT Right integrates with FredNXT, Fred Office, Z Lots and MINFOS, with more POS systems in development.
Point Of Sale (POS) Software*
Please provide you MINFOS Store ID.
This allows us to connect to your POS.
If POS is Other, please specify*
Dispensary Software*
Primary Generic Manufacturer *
E.g. Apotex, Sandoz
Secondary Generic Manufacturer
SkyBolt Data Access Consent Form

What Data is required?

SkyBolt Solutions (on behalf of Buy IT Right) requires read only access to the following data stored in Fred Office;

Product Identification Information
Product Stock On Hand Data
Invoicing & Purchasing Information
Sales Data
Vendor Names & Codes
By filling out this form you are consenting SkyBolt (on behalf of Buy IT Right) to establish a connection through your POS for read only access to the information above.

This data is transmitted to Buy IT Right and is used solely for the purpose required to provide the Buy IT Right service. No data outside the scope listed above is required or authorised.

If you cease using the Buy IT Right service, all data will be destroyed and our data connection will be disabled.
YesNoUnsure
Yes I consent.
Generic Preferences
ArrowApotexViatris/MylanSandozOther
ArrowApotexViatris/MylanSandozOther
ArrowApotexViatris/MylanSandozOther
Wholesaler Preferences
APICH2SigmaSymbionOther
APICH2SigmaSymbionOther
APICH2SigmaSymbionOther
APIBarrettCH2SigmaSymbionOther

Please provide 4 recent Invoice numbers from your primary wholesaler.*

Rows	Primary Wholesaler Invoice Number
Invoice 1
Invoice 2
Invoice 3
Invoice 4

Should be Empty:

New Store Registration Form

Contact Information

Additional information required for Buy It Right setup

POS Systems

Generic Preferences

Wholesaler Preferences