Purchaser/Reseller Pre-Application
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Email *
Please fill out the following questions to request information about becoming a purchaser or reseller of SAFER Card(TM).
Last Name *
First Name *
Company Name *
Job Title *
How many years has your company has been in business? *
What is your corporate address? *
Describe the business of your company *
Which relationship are you interested in? *
In what geographic area(s) do you anticipate selling/using SAFER Cards? *
What volume of cards per month do you anticipate purchasing? *
If you have any special language requirements (non-English) or other expectation of custom needs, describe them here.
Any other additional information that we should know?
Please click Submit below. We will be in contact with you regarding opportunities to purchase or reseller SAFER Diagnostics' SAFER Card(TM). Thank you for your interest.
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