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Application for Wholesale Pricing

Please fill out the information below. The more information you give us, the faster we can approve you. We will review it usually the same day if received during our business hours (Eastern US time) or for sure the next business morning. Please provide your license number, certifying authority and state where the license is registered. If you have a website, please DO include it. If you are elegible you will receive a confirmation e-mail with your initial user name and password. Then login to the store and you will see your wholesale pricing information.

WE SELL AT WHOLESALE PRICES TO PROFESSIONALS SO THEY CAN USE THE PRODUCT IN THEIR PRACTICES AND SELL IT TO THEIR OWN CUSTOMERS. FOR THESE PROFESSIONALS WE HAVE NO MINIMUM ORDER PLUS FREE SHIPPING (USA orders above $100 to contiguous states) Other wholesalers inquire about conditions.

Name:
Company:
Address:
Address Second Line:
City, State, ZipCode:
Country:
Email:
Website:
Phone:
I am elegible for wholesale pricing because (please select one option):

My license number, licensing board and licensing state are:
Comments / Inquiries/ Questions: 


Order more and SAVE: check on case quantity discounts (either 12 for small sizes, or 6 for bigger sizes), PLUS:

Always FREE SHIPPING to continental USA orders OVER $100

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