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Authorized Reseller Application

The BIOSENSE® Authorized Reseller Program provides retailers and health practictioners the ability to buy and sell the BIOSENSE®
device. If you currently have a reseller license and a form 149, we may be able to establish you as one of our distributors. Learn more and apply today!

Please supply a business license or permit that corresponds with the business address or corporate address listed on this application
Accepted file types: doc, docx, pdf, jpg, png, jpeg, Max. file size: 512 MB.
We are required by law to obtain a Resale License, Seller's License, Sales & Use Tax Permit, or Certificate of Authority for businesses operating in FL, TX, WA, PA, UT, CA, and NY. For all other states, please supply a resale license if you would like to make a tax-exempt purchase of our product.
Accepted file types: doc, docx, pdf, jpg, png, jpeg, Max. file size: 512 MB.
Business Address *(Required)
Corporate Address
(If different from Business Address above)
Contact Person Information *(Required)
Reseller shall not market or offer for sale the Products on or through any publicly accessible website, including, without limitation, any third-party marketplace website such as Amazon, eBay, Jet, Rakuten, Walmart Marketplace, or Sears Marketplace, without the prior written consent of Readout Health.(Required)
*Required fields
Reseller TOS *(Required)
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