Partner Registration Page

Please use this form to register your interest in stocking our products in South Africa.

If you are not based in South Africa kindly send us an email enquiry instead and we will direct you to our international distributor where available.

We currently have active distributors in the Netherlands, the United Kingdom & Ireland, Germany, Turkey, Namibia and Botswana.

Thank you for your interest

Name*
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Email*
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Phone*
Your VAT Number
Your Company Name*
Business Address*
Street Address Address Line 2 City Province Postal Code Country
Type of Business*
Number of Therapists*
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Have you been fully trained on the products?
Distributor
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Interested in our Hypochlorous acid based products?