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To set up a customer account with net 30 terms (subject to credit review and approval), please fill out the application form below.
Filling out an application is easy and usually takes less than 10 minutes.
If you have any questions, please contact our corporate offices at 800-828-8008.
Or email us at email@example.com
If yes, please send us a copy of your sales tax exemption certificate:
Or upload a copy here: (PDF Required)
If no, please upload a PDF copy of your terms and conditions for our review:
We have 99% fill rates with access to over 100,000 products! While you take care of your patients,
we'll take care of you.