club dermacie - Beauty Magazine

REGISTER FOR CLUB DERMACIE
You may enter as many members of staff from your
pharmacy as you wish
Name of pharmacy:
Pharmacy phone number:
Pharmacy Address:
Postcode:
(first member acts as club co-ordinator)
Name of member:
Email address:
Name of member:
Email address
Name of member:
Email address:
Name of member:
Email address:
Simply complete all of the above information, detach this card along
the perforation and mail it to us today (no need for a stamp).
Alternatively, you can email the above information to
clubdermacie@beauty-magazine.co.uk or fax the form back to
01284 717699. You can get more information by calling the Club
Dermacie support line on 01284 717682
Additional copies of this form can be found at
www.beauty-magazine.co.uk/dermacie