The Medicine Shoppe Canada

	Home		Bookmark		Send to a friend		Contact Us

Our Brochure

Get ready to take the next step to finding your future in retail pharmacy.

Please take a moment to complete our request for information form. When finished, click on the “SUBMIT” button. You will receive a copy of our Medicine Shoppe® Pharmacy franchise information package by direct mail. One of our Directors of Franchise Development will follow-up with you to confirm arrival of the packet and respond to your questions.

Disclaimer
Please note: This is not an offer to sell a franchise. It is understood this information is supplied to the best of your knowledge and ability. All information you provide will be held in strict confidence and does not obligate you or Medicine Shoppe Canada, Inc. in any way.

Please fill in all required fields as denoted by a *

1.	Title:	*
2.	First Name:	*
3.	Last Name:	*
4.	E-mail Address:	*
5.	Street Address:	*
6.	City:	*
7.	Province:	*
8.	Country:	If you live outside of Canada please click here »
9.	Postal Code:	*
10.	Work Telephone:
11.	Home Telephone:	*
12.	Cell Phone:
13	Current Employer:	*

14.	Background:	*

15.	Where would you like to locate your Medicine Shoppe Pharmacy:
City:		*
Province:

16.	Are you interested in:
		Establishing a new Medicine Shoppe Pharmacy
		Converting your pharmacy to a Medicine Shoppe Pharmacy
		Purchasing an existing independent and converting it to a Medicine Shoppe Pharmacy
		Purchasing an existing Medicine Shoppe Pharmacy

17.	How soon would you like to open your Medicine Shoppe Pharmacy?
		*

18.	How did you learn about The Medicine Shoppe Pharmacy?
		*

19.	Additional comments or questions: