Association pour la Récupération de Produits Santé

Promo Order Form

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Any location participating in the  Medications Return Program and/or the Sharps Collection Program may complete this order form.

The following promotional and educational items are available free of charge.

 

Pharmacy Information

 

Make sure the information below matches the pharmacy's shipping information.

 

Requester's Information

 

 

Promotional Item

 

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