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First Name: *
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Professional Registration Number
Student Number
If you are a practitioner, please quote your TGA or relevant government health care professional registration number above (MediHerb cannot supply therapeutic goods or product information without obtaining your registration number issued by your professional association). If you are a student, please give details of the course you are studying, the institution you are studying at and what year you are currently in.
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Please choose your Password carefully and make a note of it and your Username. Your Password must be between 6 and 10 characters long and is case sensitive.
Contact Information: MediHerb
124 McEvoy St
Warwick QLD 4370
Tel: 1300 265 662