Create New Customer Account

Sign-in Information

Password

Password Strength: No Password

Confirm Password

Personal Information

First Name

Last Name

Address Information

Company

Phone Number

Street Address

Street Address 2

Street Address 3

City

State/Province

Zip/Postal Code

Country

Additional Information

How did you hear about us?

Your business type:

Company Name

Website/FB link

Average monthly number of guests ( dogs):

Telephone/Whatsapp

Number of dogs treated Monthly ( approx.)

What percentage of sports dogs? What percentage of elder dogs?

Proportion of dogs with joint, muscle or mobility problems

Do you sale some household medical devices for dogs, such as braces, wheelchairs, other (non-pharmaceutical)?

Treatments used

Do you sale pharmaceutical products /supplements for joint disease/elder dogs such as chondroitin, pain relievers, joint anti-inflammatory drugs or others. If do, please tell us some brands.

Did you selll any products of physical therapy / health and rehabilitation for pets? What products? / brands?

Why are you interested in the trial?(Press Ctrl to select multiple)

Why are you interested in the trial:other

Do you have a dog?

If you are satisfied with product after the Free trial, Which of the following ways you like to sell our products?

Why are you participating in this test?

WhatsApp:

If you are satisfied with the test result, are you interested in becoming our distributor to sell products?

Shipping address:

Please type the letters and numbers below