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For Professionals: Register to Buy

Health Care Professionals are eligible to purchase Source Vitál products at discounted prices.

Register to use the Source Vital Online Store for Health Professionals

Are you interested in becoming a Source Vital distributor and professional client? Health care professionals can do so by following 2 easy steps:

  1. Fax your license or certification to 713.622.2010, ATTN: "Professional Registration".

  2. Fill out the registration form below

 

Choose a user name (such as your last name) and make sure this user name contains no spaces and uses only letters and numbers. Also create a private password. Together these will be your "key" into the wholesale section of Source Vitál from now on. This information will be kept in a registration database that is accessible only to the webmaster, not to ordinary users.

 

After you are successfully registered, you will receive a confirmation e-mail with your user name, password and directions on how access the Source Vital Site for Professionals.

 

First Name:

Last Name:

Company:

Job Title or Role:

Address:

City

State/Province:

Zip:

Phone:

Email:

Login Information

Please choose a User Name and Password to access the store (no spaces, underscores, or symbols). Please keep your login information for your records.

User Name:

Password:

   

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