FILL OUT ALL DETAILS CORRECTLY TO SEND IT TO US AND ONE OF OUR TEAM MEMEBER WILL ACCESS YOUR INFORMATION TO APPROVE YOUR ACCOUNT WHICH MAY TAKE 24 TO 48 HOURS. YOU CAN’T RESET YOUR PASSWORD OR LOGIN TO YOUR ACCOUNT WITHOUT PRIOR APPROVAL. YOU WILL BE NOTIFIED ONCE YOUR ACCOUNT IS APPROVED. FOR QUICK APPROVAL YOU MAY CALL US DIRECTLY AFTER SUBMITTING THE REGISTRATION FORM.

IF YOU ARE AN ACUPUNCTURIST and or CHIROPRACTOR and WOULD LIKE TO KNOW MORE ABOUT OUR PROGRAM FOR YOU, GIVE US A CALL and or SEND US AN EMAIL.

 

Form For Doctor/Wholesaler Registration