Dealer Inquiry

Thank you for your interest in distributing our products. Premier Health Products primary goal with our independent dealer distribution channel is to make certain that their long term interest in distributing our products is achieved by ensuring that their distribution plan is one that will result in a long term association. Please tell us a little bit about your business using the form below.

Full Name:*

Business name*:

Address1:*

Address2:

City, State, Zip*  
,

Email:*

Telephone*:

Business Tax ID Number*

Website:

 

What is the nature of your business? What other products do you sell (if any)?

Do you have a retail location/clinic?

How do you plan to market our products?

Which chair models are you interested in?

Are there any additional comments or concerns you would like us to consider?

Initial minimum purchase is 3 chairs

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