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®.