Below is a sample of the emails you can expect to receive when signed up to EPCLUSA.
You have received this one-time e-mail because you have registered as an event organiser on expopromoter.org |
Data Name | Data Type | Options |
---|---|---|
First name | ![]() | |
Last name | ![]() | |
![]() | ||
Phone | ![]() | |
Home address | ![]() | |
City | ![]() | |
State | ![]() | |
Zipcode | ![]() | |
Date of birth | ![]() | |
![]() | Select | |
![]() | ||
![]() | Select | |
![]() | Select | |
![]() | Select | |
![]() | ||
![]() | ||
![]() | ||
![]() | Phone number is required for co-pay registration. How would you like to receive communications? How would you like to receive communications? | |
![]() | Email & US mail | |
![]() | Email only | |
![]() | US mail only | |
![]() | I understand that certain information pertaining to my use of the coupon will be shared by my pharmacy with Gilead Sciences, Inc., the sponsor of the coupon, and may be used by Gilead and third parties working on behalf of Gilead to call me at the number I have provided. The information disclosed will include the date that I filled the prescription, the number of pills dispensed by my pharmacist, and the amount of my co-pay that will be paid for by Gilead Sciences, Inc. under the EPCLUSA C |