Marketplace Submission Form
Are you an IPPS Member?
*
Yes
No
Name
*
Mr.
Mrs.
Ms.
Dr.
Prof.
Prefix
First Name
Last Name
Suffix
Email
*
example@example.com
Company Name
*
Website
Phone Number
*
-
Area Code
Phone Number
Price
*
Description of Product
*
Are you submitting for a product or advertisement?
*
Product
Advertisement
Product Type
Book
DVD
Is your product FDA approved?
*
Yes
No
Has this product been researched? If yes, please provide 2-3 references
*
Where can the product be obtained? Include any links or purchasing information
*
Are you aware of any safety concerns regarding your product?
*
Please upload 1-2 high quality images of the product which will be used to market your product on the IPPS website OR send your images to ipps@statusplus.com
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