Purchase Order Form

Contact Details:

Purchase Order:

Disclaimer:

Terms & Conditions:

  • Card is valid for a period of 1 year starting from the date of purchase.
  • Accumulation of unutilized visits is subject to method explained in FAQ section of brochure and website.
  • PrimeCare shall not be held responsible for any misappropriation by service providers.
  • Any dispute arises between PrimeCare & customer which cannot be settled amicably, the matter shall be referred to appropriate authorities.
  • PrimeCare reserves the right to accept or reject any application.
  • The customer is responsible to communicate any changes in information such as address and / or registered mobile phone number to PrimeCare.