Subscription Form

Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Terms and Conditions *

Terms and Conditions 1. The pharmacy/pharmacies (the client) agrees to pay to Health Information Australia Pty Ltd (HIA) the sum of $800 + GST per annum as a single annual payment. 2. HIA reserves the right to alter the subscription fee on an annual basis. 3. The client can cancel this subscription at any time. A refund may be supplied on request, but only in a circumstance where documents or business resources were not supplied to the client prior to cancellation. 4. In the event of a cancellation of a subscription, the client has the right to request their documents and data be extracted. This will be extracted in file formats including uploaded file formats (i.e. .docx, .xls, .ppt, .pdf, .jpg, .png, .mp4 and similar), .html, .ics and .csv. HIA holds the right to extract the data in any of these formats at their discretion. HIA cannot guarantee data extracted will be in the client's preferred format. After this extraction, you will not be eligible for further support from HIA.

I agree to comply with the above terms and conditions