Apply – Quick Cross Drugs

Good Day!

Sign Up For A Quick Cross Account

Apply whenever it's convenient for you.

Use our easy-to-use online application to access our extensive product catalog at any time. Easily restock your inventory.

Protection of Data Privacy

With the most recent security technologies, your company’s data is safely kept in our system to prevent access by outside parties.

Obtain Useful Feedback

Get direct help for your issues from the DDC team, and get in touch with us directly for the most recent information about our inventory.

01 Business Information
Let's Get Started

Business Name

Business Addres

Postal Code

Email Address

Telephone Number

Mobile Number

Fax Number

VAT Reg Number

LTO Number

LTO Expiry Date

Type of Business

Tax Classification

Name of Issuer of the Check

Account Name

02 Owner Information
Kindly enter data that's relevant to your business.

Owner Name

Owner Address

Owner Email Address

Owner Telephone Number

Owner Mobile Number

Pharmacist Name

PRC License Number

Pharmacist Contact Number

Is the Owner the Authorized Representative?

Yes No

Is the Spouse of the Owner a Representative?

Yes No

03 Bank References
Please list down all bank accounts related to your business

Bank Information

Account Type

Name of Bank

Contact Number

Contact Person

Account Number

04 Supplier Information
Please list down all existing suppliers of your business.

Number of Years in Operation

Supplier Information

Name of Supplier

Credit Limit

Credit Term

Contact Person

Contact Number

05 Attaching of Documents
Please upload the relevant documents below in PDF or JPG format.

LTO Registration

DTI Registration

Mayor's Permit

BIR Certification of Registration

Valid Pharmacist ID

Pharmacist Board Certificate

Owner's Valid ID #1

Owner's Valid ID #2

By submitting this form, I certify that all information in the Customer Information Sheet are true, correct and complete. This likewise authorizes Dyna Drug Corporation and its duly authorized representative to conduct Investigation, verify/validate all the information stated herein.

With a few clicks, get your health essentials

Nationwide delivery and free shipping with a minimum purchase

Good Day!

Sign Up For A Quick Cross Account

Apply whenever it's convenient for you.

Protection of Data Privacy

Obtain Useful Feedback

About QDC

The Services

The Company

Our Partners

Careers

Contact

Privacy Policy

Our Network

Contact Information

San Jose Del Monte, Bulacan
Malabon City (NCR)
Manila (NCR)

Trunkline: +284 7788443

With a few clicks, get your health essentials

Nationwide delivery and free shipping with a minimum purchase

Good Day!

Sign Up For A Quick Cross Account

Apply whenever it's convenient for you.

Protection of Data Privacy

Obtain Useful Feedback

About QDC

The Services

The Company

Our Partners

Careers

Contact

Privacy Policy

Our Network

Contact Information

San Jose Del Monte, Bulacan Malabon City (NCR) Manila (NCR)

Trunkline: +284 7788443

San Jose Del Monte, Bulacan
Malabon City (NCR)
Manila (NCR)