Account Registration

Dunbar Medical offers professional pricing to healthcare professionals, pharmacies and other retail outlets but not to the general public. Should you wish to be considered for an account with us, please complete the registration form below. We will evaluate the information you provide and respond as soon as possible.

Name*
First Last
Email*
Password
Enter Password Confirm Password
Company Name*
Website
Address*
Street Address City Province Postal Code
Phone Number*
Fax Number
Mobile Phone
Pharmacy Buying Program*
We provide discounts for pharmacies and Home Health Care stores who are participating in the PharmaSave or Drug Trading-Home Health Care programs. Please indicate here whether you are a member of either of these programs.
Would you like to be contacted by your local Dunbar Medical Sales Representative?*
If you select this option, you will be contacted by a sales representative who can suggest the most suitable products for you as well as help you place your orders.
Please let us know how you heard about Dunbar Medical*
Are there any products that you would particularly like to see on this site?
Comments
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