Client Registration
Register a new hospital, clinic, or distributor account.
Basic Information
Client Name
*
Client Type
*
Select Type
Eye Hospital
General Hospital
Eye Clinic
Optical Clinic
Optical Shop
Optometrist
Ophthalmologist Practice
Vision Centre
Instant Customer
Corporate Client
Government Hospital
Teaching Hospital
NGO
Other
Client Code
CLI-YYYY-####
Automatically generated
Primary Contact
Contact Name
*
Designation
Mobile Number
*
Email Address
Address Information
Street
*
City
*
Country
*
Select Country
Nigeria
Others
State
Postal Code
Delivery Details
Use Primary Address for Delivery
Delivery Address
Financial Information
Credit Limit
Price List
*
Select Price List
Standard Price List
Wholesale Price List
Distributor Price List
Payment Terms
Cash
7 Days
14 Days
30 Days
45 Days
60 Days
Custom
Reset
Register Client