Disclaimer: By providing the personal information herein for the purpose of signifying my intent to provide feedback and to participate in marketing activities. (
Use), I (
Provider) hereby permit and authorize Actimed, Inc., the Franchisor of the Generika Drugstore Franchise System, its subsidiaries, affiliates, their respective successors, assigns and those acting under their permission to use his/her personal information SOLELY and EXCLUSIVELY for the said intent. The said personal information shall not be disclosed or distributed in whatever form to any other party without the prior written consent of the Provider.
I hereby release discharge Actimed, Inc., its subsidiaries, affiliates, their respective successors, assigns and those acting under their permission, from any liability whatsoever with respect to the said Use.