Pharmacy Show Offer
Welcome to the Pharmacy Show Offer 2025. To take advantage of our special offer, please complete the details below.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Your Position within your organisation
*
Enter the name of your pharmacy
*
Enter the address of your pharmacy site
*
Street Address
Street Address Line 2
City
County
Postal / Zip Code
Do you have an existing pharmacy?
*
YES - I have an existing Pharmacy I wish to sign up
NO - I am planning to open/ acquire a new pharmacy to sign up
Enter your ODS Code (England) or NHS Reg number (Wales) or GPhC number (if Private)
Which products are you interested in
*
TITAN PMR only
TITAN PMR and TITANVERSE
If you are opening a new pharmacy, or looking to go live on the same day as activation, you will need enhanced support. Please select which of the following options you would prefer;
Provide me with enhanced support, with site visit, at a rate of £750
Provide me with enhanced support, no site visit, at a rate of £300
I do need any enhanced support
Which one of these apply to your operation
*
Limited Liability Company
Sole Trader or LLP Partnership
Please enter Company Name (as it appears on Companies House)
Please enter Company Registration Number
leave blank if unknown
How many items per month does your pharmacy dispense?
*
How many Desktop Terminal licences would you like to order?
*
Please note: you must order your desired Terminal Licences here to get the special offer price of £50. You can order as many as you like as part of this order, but any ordered after this will be at the standard price of £100 per device.
How many Edo (handheld) terminals would you like to order?
*
Please note: you must order your desired Device Licences here to get the special offer price of £50. You can order as many as you like as part of this order, but any ordered after this will be at the standard price of £100 per device.
Please enter the date you wish to Go Live with Titan (within next 6 months)
*
-
Day
-
Month
Year
Please note, the earliest dates possible are 3rd Nov 2025. If you are not sure of the exact date, please provide an estimated date.
Please use the information I have provided to set up a Contract and send this to me for review. I understand for this offer to be valid, I must sign the Contract, have the a Direct Debit in place and make the initial payment. I confirm I am authorised to sign up on behalf of my organisation
*
Submit
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