Create New Customer Account

Buyer Registration Page

It’s simple to become a MedBuy customer. Complete the application below.

First Name

Last Name

Type of Legal Entity

Registration Type

Council Registration Number

Responsible Pharmacist P-Number (If Applicable)

Practice Registration Number

Applicant Full Legal Name

Trading Name

Business Contact Details

Contact Person Name

Designation

Contact Number

Mobile Number

Website (If applicable)

Delivery Address

Password

Confirm Password

Applicant Declaration & Consent

By submitting this application, I confirm that:
1. I am authorised to act on behalf of the company/practice.
2. I consent to MedBuy conducting credit and compliance checks.
3. I consent to being contacted as per POPIA Section 69(2).

I hereby acknowledge and agree to the above.

Do You Want To Become A Seller / Vendor?

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