Chemist2U Customer Registration Form

Please complete the registration form below.

User Details: Your account credentials will be sent here.

First Name:

Surname:

Mobile Number:

Email Address:

Clinic Details: Delivery and Contact Details

Clinic Name:

Billing Email Address:

Allergan Ship_To (Account Number):

The Ship_To number can be found on the invoice.

Clinic Street Address:

Suburb:

Postcode:

State:

By submitting this registration form, I consent to the collection, use, and disclosure of my personal information for the purpose of processing and fulfilling orders. I understand that my information may be shared with a third-party partner responsible for processing these orders, and that such sharing will be limited to what is necessary for order management and fulfillment.

Need Assistance: Please reach out to your Allergan Aesthetics Customer Service Team on 1800 252 224 or australiaenquiries@allergan.com.

Report Adverse Events: Click here to report an adverse event.

Allergan Australia Pty Ltd (Allergan Aesthetics, an AbbVie Company. ©2025 AbbVie. All rights reserved. AbbVie Pty Ltd, ABN 48 156 384 262, having its registered head office at Level 7, 241 O’Riordan Street, Mascot, NSW 2020 and trading as Allergan Aesthetics, an AbbVie company at Level 20, 177 Pacific Hwy, North Sydney, NSW 2060. AbbVie Limited, NZBN 9429030775923, having its registered head office at Level 6, 156-158 Victoria Street, Wellington, 6011 New Zealand and trading as Allergan Aesthetics, An AbbVie company.
Date of preparation: September 2025. AU-AGNA-250428 V1.