International Pharma Application

Purchasing Contact Name *

First

Last

Purchasing Contact Email *

Purchasing Contact Phone *

Please confirm product types you are licensed to purchase:

Provide copies of relevant licenses in the file upload section.

Expiry Date: Human

Expiry Date: Veterinary

Expiry Date: Controlled Substances

Please list the intended end-use of the imported products: *

Are purchases shipped to the address provided intended for re-export? *

Select which countries they will be exported to: *

Do you purchase temperature-controlled products? *

Are Certificates of Analysis required for any of your purchases? *

Are any purchases intended for human clinical trials or military use? *

Are any other documents required for your purchases? *

Please specify required documentation needs: *

Provide WHICH documents, as well as WHEN it would be required, and if DOCUMENT ATTESTATION (legalization of documents), will be required.

File Upload

Click or drag files to this area to upload. You can upload up to 20 files.

Please provide all necessary documents listed on the Open An Account page for your business (.PNG, .JPG, or .PDF files only).

GDPR Agreement *

I consent to having NDS store my submitted information so they can respond to my inquiry.

New Customer Application