At Alypsis we have several ways you can share in the success of our products. If you currently own or manage a retail location, you may be eligible to sell our products and participate in marketing, promotional, POS and incentive programs. If you are a distributor or sales rep we also have opportunities for you.
Feel free to Contact us for Distribution details prior to the application process. You may also request a personal consultation at any time to further go over technical details and specific protocol or distribution guidelines. All Applications and Agreements must be submitted to Alypsis Inc. and approved by Alypsis Inc. before Authorized Distribution & Representation is allowed. All applicants for Practitioner Representatives and Sales Distributors must complete this form to apply for Authorized Distributor and Authorized Practitioner Representative status or complete form to request information to Distribute or Represent Applications, first orders and Distributor inquiries may be accompanied by a personal consultation to ensure your needs are met. All personal information is held in strict confidence. You will NOT be added to a mailing list nor your information sold to others.
You can fill in the form below or if you prefer you can download/open the FILLABLE PDF Application Form Here .
We also have available a standard PDF form that you can print and mail back to us, if that is more convenient. Download the Standard Version here .
Once filled in, please email it back to us here.
Please Note: There is a minimum order of $100.00 for wholesale orders. Any wholesale order under $100.00 will have a surcharge of 15% added at checkout!