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CMP Savings Center
New Customer Authorization and Release
By signing, I agree to all of the following terms and conditions on behalf of myself, my heirs, assigns and successors. I further represent that I understand all of the following terms and conditions and that I have had adequate opportunity to consult any adviser necessary, whether medical, legal or otherwise. In the event that I am placing the order on behalf of someone else, I also represent that I have all necessary consent, permission and authorization to do so on behalf of that person and their heirs, assigns and successors. AUTHORIZATION AND CONSENT hereby appoint Candrug Health Solutions Inc. ("CMP.com") and its delegates (CMP.com) or contractors (Candrug Health Solutions Inc.)as my agent and attorney for the purposes of obtaining a prescription from a medical doctor in Canada (the "Canadian Doctor ") that corresponds to the prescription included in this order. The acts authorized may include directly contacting my prescribing medical practitioner, and purchasing and arranging delivery of the medications prescribed in the Canadian prescription, substantially on the terms set forth below, and all to the same extent that I could if I personally took such steps. I hereby consent to and authorize CMP.com, the Canadian Doctor and any Canadian pharmacy with which CMP.com may partner (the "Partnered Canadian Pharmacy ") to collect my personal medical information and to maintain on file the information necessary to verify and process future orders, including but not limited to my name, address, phone number and payment information. I understand that my personal information will be handled only by CMP.com, the Canadian Doctor, and the Partnered Canadian Pharmacy's processing employees and contractors (including physicians and nurses, pharmacists and pharmacy technicians).DISCLOSURE AND REPRESENTATIONS represent that all of the following statements are true and understand that CMP.com, its Partnered Canadian Pharmacy, their employees and contractors (physicians and nurses, pharmacists and pharmacy technicians) are relying on the following representations: 1. I am of the age of majority or older according to the laws of the state in which I reside ("My Place of Residence"). 2. I can make my own medical decisions according to the laws of My Place of Residence. 3. A duly qualified medical practitioner in My Place of Residence ("My Medical Practitioner") prescribed the pharmaceutical product(s)("the Ordered Product ")that I am requesting CMP.com to assist me in obtaining. 4. The prescription that I am requesting CMP.com to assist me in obtaining has not been altered in any way nor has it been filled prior to submission to CMP.com.I agree to immediately destroy all copies of my prescription once it has been filled. 5. I will use any medication obtained for me by CMP.com strictly in accordance with the instructions provided by My Medical Practitioner. 6. I place this order for medication for my sole use and I will not provide any of this medication to another person. I am not seeking or relying on any medical information from CMP.com. 8. I will immediately contact My Medical Practitioner in the event I suffer any unexpected side effects from any medication(s) provided to me by CMP.com’s Partnered Canadian Pharmacy. CMP.com has made no representations or warranties to me, including, without limitation, representations or warranties regarding the use or fitness for any particular purpose of the medication(s) delivered (including, without limitation, its appropriateness for curing or helping relieve any particular ailment, illness or disease, or its potential or actual side or adverse effects whether previously known or unknown) PURCHASE AND SALE TERMS1. If I choose to pay for my order by credit card, CMP.com and the Partnered Canadian Pharmacy will charge my credit card the following amounts (all prices in US funds): the medication price as posted on CMP.com’s website on the day CMP.com receives my order, and a $10.00 Shipping/Insurance Fee for each package CMP.com ships, and any applicable taxes. 2. In the event my payment is not authorized by my credit card company, CMP.com has the right to cancel my order and attempt in good faith to promptly notify me of such cancellation. 3. CMP.com reserves the right, in its sole discretion, to refuse to process any order, in which event I will be entitled to a prompt refund of all monies paid for such order, if any. 4. Whenever possible, and unless otherwise instructed by My Medical Practitioner or by me, CMP.com’s Partnered Canadian Pharmacy will substitute lower cost generic drugs for any prescribed brand name prescription drugs. 5. CMP.com does not fill any orders using child protection packaging. 6. CMP.com is not providing its services as agent or limited power of attorney as a substitute for health care or the advice of a licensed medical practitioner. 7. CMP.com will not exchange medication or return any monies paid once an order is filled, unless the medication provided to me by the supplying pharmacy does not correspond with my prescription. RELEASE AND WAIVER hereby release and hold harmless CMP.com, its Partnered Canadian Pharmacy, the Canadian Doctor, their officers and directors, agents, employees and contractors (including physicians and nurses, pharmacists and pharmacy technicians)from any and all suits, demands, liabilities, claims, actions, expenses, losses and damages of any kind or nature whatsoever, including, without limitation, general, direct, special, indirect and consequential damages and costs of litigation (including reasonable attorney fees)arising from: 1. My use of the medication(s) provided to me by CMP.com 's Partnered Canadian Pharmacy including, without limitation, any and all side effects whether previously known or unknown; 2. The manner or timeliness of completion by CMP.com or its Partnered Canadian Pharmacy of any of the actions I have authorized; and 3. My breach of any terms, conditions or representations or warranties in this agreement. GOVERNING LAW This agreement, along with any disputes that may arise, will be governed by and construed in accordance with the laws of the Province of British Columbia, Canada. I have read and understand all of the foregoing.
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