Become Our Dealer/ Retailer/Distributor
We are looking for retailers with brick-and-mortar locations, including HME/DME stores, mobility dealers, and independent medical supply shops, to join our network. If you want to be an authorized power wheelchair dealer, franchise owner, or distributor, please fill out our application form.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Your Store Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How do you know about us?
Submit
Should be Empty: