WhatsApp Business Consent

Join Our
WhatsApp Updates

Complete this form to receive prescription reminders, health tips, and pharmacy updates from your PharmaPlus branch via WhatsApp Business.

1
Details
2
Preferences
3
Consent
4
Review
Step 1 of 4
Personal Details
Please enter your full name.
Please enter your ID or Passport number.
Please enter your date of birth.
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Enter number without the leading 0 Please enter a valid 9-digit WhatsApp number.
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Optional Please enter a valid 9-digit number.
Optional — for confirmation receipt Please enter a valid email address.
Please select your branch.
Step 2 of 4
Communication Preferences

Choose the types of messages you would like to receive from us via WhatsApp.

Select / Deselect All
Step 3 of 4
Consent & Signature

By proceeding, you confirm that:

  1. You voluntarily consent to PharmaPlus adding your WhatsApp number to their Business contact list.
  2. Messages will be sent via WhatsApp Business and may be automated.
  3. Standard data/internet charges from your service provider may apply.
  4. Your personal information will be handled in accordance with applicable data protection laws.
  5. You may withdraw consent at any time by replying STOP to any message or visiting the branch.
  6. The WhatsApp number provided belongs to you and is actively in use.
Draw your signature below

Use your mouse or finger (on touch devices) to sign above.

Step 4 of 4
Review & Submit

Please review your details before submitting. You can go back to make changes.

Personal Details
Full Name
ID / Passport No.
Date of Birth
WhatsApp Number
Alternate Number
Email Address
Branch
Communication Preferences
Selected
Consent & Signature
Consent Given
Signature Signature

You're all set!

Thank you for completing the PharmaPlus WhatsApp consent form. You will start receiving updates on your WhatsApp shortly.

Submission Reference
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To unsubscribe at any time, simply reply STOP to any WhatsApp message from us.