• Medico RESELLER Application Form

    Looking for an amazing business opportunity in the health and wellness industry? Become a reseller with Medico today! By joining our reseller program, you'll have access to our top-quality health and wellness products that are trusted by professionals and loved by customers. Whether you're a gym owner, a health practitioner, or an individual passionate about wellness, our reseller program offers you a chance to promote and sell our products to your network. As a Medico reseller, you'll enjoy competitive pricing, marketing materials, and ongoing support to help you succeed. We believe in building strong partnerships and are dedicated to your success every step of the way. Take the opportunity to bring wellness and quality products to your community while earning an income doing what you love. Contact us today to learn more about becoming a reseller with Medico and embark on a rewarding journey in the health and wellness industry.

  • Become a RESELLER today!

  • DATE OF BIRTH*
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  •  -
  • How soon are you looking to get started?*
  • Do you already have a location?*
  • Have you worked in health care before?*
  • Do you have a medical License?*
  • Are you willing to do what it takes to make your business successful?*

  • BUSINESS OWNERSHIP EXPERIENCE (if applicable)

  • IS THE BUSINESS STILL OPERATING?
  • IS THE BUSINESS STILL OPERATING?

  • REFERENCES

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  •  -

  • OTHER BACKGROUND INFORMATION

    Have you or any applicable partners, officers, directors, or shareholders with your business affiliations ever:

  • Had any administrative, criminal or civil action alleging a violation of any franchise law, fraud, embezzlement, fraudulent conversation, restraint of trade, unfair or deceptive practices, and misappropriation of property or comparable allegations? Please note that FISHWAVE reserves the right to request a copy of your criminal record from the relevant State Police Authority.*
  • Been convicted of a felony or pleaded “no contest” to a felony charge or been held liable in a civil action by a final judgement or been the subject of a material complaint or other legal proceeding such as a felony, civil action complaint, misappropriation of property or comparable allegations?*
  • Been adjudged bankrupt or reorganized due to insolvency?*

  • GENERAL INQUIRY 

  • ARE YOU PREPARED TO COMPLY WITH THE PROCEDURES AND CONTROLS SET BY MEDICO?*
  • Are your intentions to work full time in the business?*
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  • ONLY APPLICABLE IF IT'S MORE THEN ONE PARTNER.

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  • REFERENCES

  •  -

  • OTHER BACKGROUND INFORMATION

    Have you or any applicable partners, officers, directors, or shareholders with your business affiliations ever:

  • Had any administrative, criminal or civil action alleging a violation of any franchise law, fraud, embezzlement, fraudulent conversation, restraint of trade, unfair or deceptive practices, and misappropriation of property or comparable allegations?
  • Been convicted of a felony or pleaded “no contest” to a felony charge or been held liable in a civil action by a final judgement or been the subject of a material complaint or other legal proceeding such as a felony, civil action complaint, misappropriation of property or comparable allegations?
  • Been adjudged bankrupt or reorganized due to insolvency?

  • GENERAL INQUIRY 

  • ARE YOU PREPARE TO COMPLY WITH THE PROCEDURES AND CONTROLS SET BY THE COMPANY?
  • Are your intentions to work full time in the business?
  • Are you aware certain information provided and/or advised to you is confidential and shall not be divulged to any third person?

  • I certify that my answers are true and complete to the best of my knowledge. If this application leads to Partnership, I understand that false or misleading information in my application or interview may result in my release.

  • Date of signing*
     - -

  • Inventory Request

  • PRICE LIST 

    SEMAGLUTIDE 4MG PEN $90 MOQ 10

    SEMAGLUTIDE 8MG PEN $120 MOQ 10

    B12 2ML VIALS COMES 10 PER BOX $35 MOQ 10

    FAT DISSOLVER 1 BOX OF 10, 10ML VIALS $200 MOQ 2

    APPETITE SUPPRESSANT $25 MOQ 10

    FAT BURNER  $25 MOQ 10

    MEDICO 50 BAGS 5X9 =$90

    MEDICO 50 BAGS 7X5 BAGS $100

    IF YOU WANT CUSTOM BAGS PLEASE LET US KNOW. 

    1 PACK RX FORMS FOR INSIDE SEMAGLUTIDE CASES =$100

     

  • My Products

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    SEMAGLUTIDE 4MG PEN. 4MG.
    SEMAGLUTIDE 4MG PEN

    4MG.

    $90.00$90.00
      
    SEMAGLUTIDE 8MG PEN Product Image
    SEMAGLUTIDE 8MG PEN
    $120.00$120.00
      
    SEMAGLUTIDE COMPOUND(THIS CAN BE MIXED WITH B12) 5MG *10VIALS MUST ORDER SALINE SEPERATE. Product Image
    SEMAGLUTIDE COMPOUND(THIS CAN BE MIXED WITH B12) 5MG *10VIALS MUST ORDER SALINE SEPERATE.
    $300.00$300.00
      
    B12 2ML VIALS COMES 10 PER BOX Product Image
    B12 2ML VIALS COMES 10 PER BOX
    $35.00$35.00
      
    FAT DISSOLVER 1 BOX OF 10, 10ML VIALS $200 Product Image
    FAT DISSOLVER 1 BOX OF 10, 10ML VIALS $200
    $200.00$200.00
      
    1 PACK RX FORMS Product Image
    1 PACK RX FORMS
    $100.00$100.00
      
    MEDICO BAGS 5X9 PACK OF 50 Product Image
    MEDICO BAGS 5X9 PACK OF 50
    $90.00$90.00
      
    MEDICO BAGS 7X5 PACK OF 50 Product Image
    MEDICO BAGS 7X5 PACK OF 50
    $100.00$100.00
      
    SHIPPING COST VARIES Product Image
    SHIPPING COST VARIES
    Free$ Free
      
    APPETITE SUPPRESSANT Product Image
    APPETITE SUPPRESSANT
    $25.00$25.00
      
    FAT BURNER Product Image
    FAT BURNER
    $25.00$25.00
      
    Total
    $0.00$0.00
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