Transpharm Authorisation I, doctor(Required) First Last MP(Required) hereby authorise Focus on Health (Pty) Ltd to receive my monthly sales data and marketing fee data from my Transpharm (Pty) Ltd accountNo:(Required) Signed at(Required) on this day(Required) MM slash DD slash YYYY Consent(Required) I agree to hereby authorise Focus on Health (Pty) Ltd to receive my monthly sales data and marketing fee data from my Transpharm (Pty) Ltd account Δ