Cell-Logic USA Wholesale Application Form

Online Signup Process

Click the "Get Started" button to begin.

This process should take less than 5 minutes!

NOTE: This application is for Cell-Logic only.
If you'd like to apply for Cell-Logic and Integra Nutritionals, click here.

Cell-Logic-USA Terms & Conditions
- Except as otherwise noted, these terms and conditions apply to all products whether part of the Cell-Logic (C.L.) or Integra Nutritionals (I.N.) product lines.
- Cell-Logic-USA offers wholesale pricing to those that are identified by Cell-Logic-USA, at its sole discretion, as either licensed healthcare practitioners or approved healthcare product distributors.
- Cell-Logic-USA suggests a licensed practitioner be available for email/phone consultations in the event that a patient purchasing a product from the website has questions or concerns. Cell-Logic-USA will not dispense medical advice to any customer.
- No Product discounting is permitted. All Products must be priced at or above Suggested Retail Price (SRP) as defined per Cell-Logic-USA’s current Price List.
- Products may be sold on the Internet only through authorized websites whose URL has been provided to Cell-Logic-USA and only directly to patients and customers.
- At no time should any I.N. product appear online in a non-password protected area, nor may it be sold in any non-clinical environment.
- Products are not to be displayed or offered for sale to the general public on open shelves in retail stores. Products may be displayed and sold through medical practices to patients or at retail pharmacies behind-the-counter.
- Products in the I.N. line may not be openly displayed to the patient or others in the waiting area (prior to dispensing).
- Cell-Logic-USA ships to patients and practitioners in the US and Canada only.
- All wholesale orders over $250 will be shipped requiring a signature by the recipient. While Cell-Logic-USA appreciates and values its customers, we cannot be liable or responsible for packages that are lost or stolen after being signed for and accepted.
- Account approval is granted to individual clinicians/practitioners, and not to the practice or business itself. Approval is Non-Transferable: If a clinician/practitioner leaves a practice or business, he or she must notify us in writing.
- Cell-Logic-USA reserves the right to discontinue wholesale pricing to any account found to be in violation of the conditions listed herein. In the event that a violation has occurred, Cell-Logic-USA will provide the offender with a notice. If violations continue after receiving the notice, Cell-Logic-USA reserves the right to stop future sales to the offender
- Cell-Logic-USA reserves the right to modify this Agreement at any time, and without prior notice. Amended terms will be sent electronically to the email address on file.
- Purchasing Cell-Logic-USA product constitutes your acceptance of these Terms and Conditions. You may request a current copy of the Terms and Conditions, at any time, by calling or sending an email to Support@Cell-Logic-USA.com.
Degree/Credentials*
Specify*
Email*
example@example.com
Which brands are you applying to sell?*

Cell-Logic USAIntegra Nutritionals
IMPORTANT: If you would like to apply for access to the Integra Nutritionals clinician-only product range, an additional application through Cell-Logic AU is required. Once you submit this form, you will be automatically redirected to complete the application process.
Please Check:*

I agree to the Terms & Conditions. The information provided in this application is complete and accurate to the best of my knowledge.
Full Name*

First NameLast Name
Title*
Ex: Practice Owner, President, Practice Manager
Date

MonthDayYear

Sales Taxes

Wholesale Exemption and When to Collect
NOTE: This is only applicable to U.S.-based clinicians/practitioners. Please continue to the next page if you're not located in the U.S.

If you will be reselling products to patients out of your office, you may submit a Sales Tax Exemption Certificate so that you will not be charged sales tax on your purchases. In most states, sales tax should be collected when the first use of a taxable service occurs. For example, when a patient purchases the product in your office or when the product is sold to an end user.

Please note that you are responsible to collect sales tax as required by your state, which may include non-wholesale orders and orders placed by employees for their own use. Consult your state's specific sales tax laws for further clarification, as many states assess fines, penalties and interest on unpaid sales taxes.

Our office is located in Missouri, so we can accept the Missouri Sales Tax Exemption Certificate or the Tax Exemption Certificate for your home state.

You can download the "Missouri Sales and Use Tax Exemption Certificate" here: [view certificate]

To find the certificate for your home state, search "[your state's name] Sales Tax Exemption Certificate". It will usually appear on your state's official website ending in .gov.
Once you've completed your tax certificate, you can take a picture or scan the document, save it to your computer and upload it below.

Additionally, you can email your certificate to Support@Cell-Logic-USA.com or fax it to 877-903-9290.
I will be reselling products purchased through this site and request a retail sales tax exemption. I understand that it’s my responsibility to collect and remit applicable sales tax to my state for products my patients purchase as may be required by law.
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Client Information

*Required Fields
Full Name*

First NameLast Name
Degree/Credentials OLD FIELD*
Phone Number*
Include area code
Practice Website
Business/Practice Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Referral Code (if applicable)
Note: Products are only shipped to patients or health care providers in the United States or Canada.

Account Settings

Used to login to Cell-Logic-USA.com
Your account login will be set up using your email address and a temporary password which we will send to you. If you have any questions about your login credentials, please email Support@Cell-Logic-USA.com or call toll free 855-336-4730.
License or Certification
There are 3 ways to provide your license or certification:
1. Take a picture of it with your phone or device and email it to Support@Cell-Logic-USA.com.
2. Take a picture or scan document, save it to your computer and upload it below.
3. Fax it to 877-903-9290
File Upload

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Last Step — Just Click "Submit"!

When your form has been submitted, you will see a "Thank You" message.
Last Step — Just Click "Submit"!

We'll automatically redirect you to complete your application on the Cell-Logic AU website.
support email for notification logic
example@example.com
Should be Empty:

Sales Taxes

Client Information

Account Settings

License or Certification