Arthur Andrew Medical Inc. Medical Enzyme Development

Retail Account Application

Retail Account Application

Thank you for choosing to open a retail account with Arthur Andrew Medical. To establish an account with us, we ask that you:

Arthur Andrew Medical strictly regulates the advertised prices of its products. All legitimate sales of Arthur Andrew Medical products form Authorized retailers that are contracted to adhering to MAP for any advertising of all sales of the our Arthur Andrew Line. For a recent copy of this Arthur Andrew policy please download the pricing guide here MAP Guide

1. Be in a medical or health-related business or industry.
2. Meet at least one of the following requirements:

* Credentials or professional license (if a health practitioner)
* Resale license
* Business license
* Federal tax identification number

To request a retail application please fill this form out completely. You will be contacted by a wholesale account manager to review your needs and complete your application. Your account manager will be able to assist you with product pricing and availability. All applications are subject to review. All resellers must abide with pricing policy or risk termination of agreement. All prices are subject to change without notice. Discount prices are calculated by purchase volume.

Company Info
Company Name:
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Business Address
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City
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State
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Zip Code
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Contact Person
First Name
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Last Name:
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Phone Number + Ext.
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Email Address:
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I Have the Following License or Tax ID

Merchant Tax ID #
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Comments:
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Security code:
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