Register

Wholesale Buyer Registration

Company:
Contact:
Address:
City, State, Zip:
Phone:
Fax:
Email:               
Fed Tax ID :
Resale Tax ID:
Type of Business: Corporation           Partnership               Sole Proprietorship                  LLC
Nature of Business: Doctor’s Office                  Health Foods Store               Pharmacy                Other
       
 After you have filled in the information above please click the submit button, your wholesale application will be submitted and you will receive a user name and password.This password allows you access to wholesale information only. This is NOT a credit application, nor does this allow you to purchase any item on credit.

 

Vital Formulations, Inc.
8070 East Morgan Trail, Suite 120
Scottsdale, AZ 85331
800-922-6298 | 480-992-6298 | 480-991-2027 fax
This website is intended for the wholesale distribution of Dr.Hansen’s Vital Formulations suppements. The information contained in this web site, including product descriptions, is intended for educational purposes only. It is not intended as a substitute for personal medical attention, or as a prescription for a specific health condition or illness. Neither Dr. Hansen or Vital Formulation, Inc. shall be held liable or responsible to any person or entity for the claim of any loss, damage, or injury due to the health information or inferred health recommendations contained in this web site.