Add Additional branches within your group on one form?
You may add additional branches below by selecting "Click to add additional branch" (limited to a max. of 10 branches) or alternatively you may upload a branch list by selecting "Click to add branch list".
Premises to which the Solution(s), Services or Goods are to be provided
The agreement will also apply to all branches added below (and shall form part of the same agreement)
Please download and complete this Branch Upload Spreadsheet. Then upload the spreadsheet below.
(If there are no additional branches, please click Next)
Constant Connect service – Fees collected quarterly by direct debit
Constant Connect Service Charge per month (the “Service Charge”)*
*Area and signal strength dependent
By executing this Order Form the Customer accepts that the provision of any Solution(s), Goods, and/or Services hereunder by EHCP shall be subject to the terms of the existing Agreement which is in place between the parties (and which is subject to EHCP’s Master Terms and Conditions (the “Master Terms”) (a copy of which is available by following this link http://www.securepharm.co.uk/T&C/Rx Master Services Agreement.pdf)) and this Order Form is incorporated by reference into the Agreement.