Wholesale

    The BackInBand® is truly making a difference for those suffering with lower back pain. It works. If you have an interest in becoming a wholesaler, please fill out this Wholesale Request Form, and send it for our team to review and approve. Once your wholesale request has been approved, you will be contacted by a member from our team. If you have any immediate questions, please don’t hesitate to contact our office at (888) 446-2263 to speak with a team member. Thank you for your interest in wholesaling the BackInBand®.

    New Wholesale Account Register Form

    First name *

    Last name *

    Business name *

    Address *

    Unit

    City *

    State *

    Zip code *

    Country *

    Phone number *

    Email address *

    I was referred to you by *

    Retailer Type *

    Additional information

    Wholesale
    The BackInBand® is truly making a difference for those suffering with lower back pain. It works. If you have an interest in becoming a wholesaler, please fill out this Wholesale Request Form, and send it for our team to review and approve. Once your wholesale request has been approved, you will be contacted by a member from our team. If you have any immediate questions, please don’t hesitate to contact our office at (888) 446-2263 to speak with a team member. Thank you for your interest in wholesaling the BackInBand®.