Verification & Release Form

I verify that the statements provided are true and correct, and that I am at least 18 years of age. I give The Pharmacy Guild and its affiliated organizations (the “Union”) permission to use my name, photograph(s), statements, and/or video in Union publications, websites, mobile applications, flyers, advertisements, and videos.

Name
By Providing your email address, you are allowing s to email you.
By providing your phone number, you are allowing us to call you, including by autodialer, and text you. The Pharmacy Guild will never charge you for text message alerts, but carrier message and data rates may apply.
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