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Tom Talbert Imaging is proud to support PCAB by providing a FREE Message On Hold Production.

Includes:    * Personalized Script and or recording announcing your PCAB accreditation.
* Professional voice talent recording in the format of your choice
* Free Trial Service of our Signature Series On Hold Marketing Program (new clients only)
with Digital Player and personalized on hold messaging for 60 Days! 1st time customers only please.
Current customers are already having their PCAB accreditation included in their
customized on hold messages from Tom Talbert Imaging.

This form will help you get started.
So that we may serve you better, please fill it out completely. Thank you!

   
Name of Pharmacy  
 
   
Pharmacist(s)  
 
   
Street Address  
 
   
City  
 
   
State  
 
   
Zip  
 
   
PO Box (if applicable)  
 
   
Email Address  
 
   
Website (ex. www.yourpharmacy.com)  
 
   
Phone  
( )- -  
   
Fax  
( )- -  
   
Date of PCAB Accreditation:  
 
   

USP-797 Sterile Compounding

YES or

NO

USP -795 Non-Sterile Compounding 

YES or

NO
 
   
   
 
Additional Comments:  
 
   
 
   
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