Primary Care Catalogue
Web Ordering Account Setup Form http://medicalmart.partnerconnects.com/
TogetherImproving Lives
Customer Account Number
Customer Account Name Main Contact Full Name Main Contact Email Address Password Requested (if not specified a default will be assigned) Territory/Sales Rep
Administration Use Only
Facility Name Application Id Interchange Id
TELUS-UP
Please consider signing up for our monthly newsletter Specials www.medimart.com/subscribe
5150 SpectrumWay, Mississauga, ON, L4W 5G2 [t] 905 624 6200 [f] 905-624-2848 www.medimart.com
6200 Cantay Rd., Mississauga, ON, L5R 3Y9 [t] 905 624 6200 [f] 905 624 2848 www.medimart.com
Web www.medimart.com Email cs@medimart.com
Toll Free Phone 1.800.268.2848 Toll Free Fax 1.800.563.6937
61
Made with FlippingBook - professional solution for displaying marketing and sales documents online