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Impact Church Nova

44715 Prentice Dr Unit 1531
Ashburn, VA

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REL01220295

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First Name *

Both must provide a first name.

Last Name *

Both must provide a last name.

Email *

Both must provide a valid email address.

Your phone number will be associated with your Rite Aid Rewards. You must remember to use this for for In-Store purchases at check-out for your selected organization to receive funds.

Phone # *

You must provide a valid phone number.

Phone number confirmed.

Repeat Phone # *

Both the Phone Number and Confirmation need to match.

Phone numbers need to match.

Current Store *

You must choose your current pharmacy. If you there isn't one on the list, please choose Other.

Rite Aid Pharmacy Customer Notice

If you are a Rite Aid Pharmacy customer your wellness+ number must be validated in order for your account to qualify for the RXfundraising program. Qualification is determined by:

For a Prescription categorized as a maintenance medication Prescription, there shall be a 365 day cure period. Any potential supporter who has bought a maintenance medication from Rite Aid during the prior 365 days will be excluded.

For a Prescription categorized as an acute medication Prescription, there shall be a three year cure period. Any potential supporter who has bought an acute medication Prescription from Rite Aid during the prior three years will be excluded.

Because program qualification is determined by both the type and time of your last prescription purchase, our recommendation is to register and allow us to determine your account qualification.

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