I, [swift_name size=”medium”], and YOURCOMPANYHERE agree to the following awesome text:
- You are receiving a prescription delivery
- The order is the correct quantity
- The order has not been tampered with
Conditional / Branching Logic Example here:
Is the delivery an NOH? [swift_radio name=”NOH” options=”yes, no”]
[swift_showhide default=”hide” trigger=”likecats” value=”yes”]
Did you call the pharmacy? (Notice this question only shows if you click yes to NOH.)
[swift_circleword name=”catfavorite” options=”calico, siamese, tiger, lynx”]
Signed and agreed on this [swift_date_long].
[swift_initials] I also warrant I am not a great white shark.
Primary Email: [swift_email name=”email” required]