Be A Reseller

FIRST NAME

LAST NAME

ADDRESS

PHONE

COMPANY

POSITION

What product category do you want to be a reseller of?

General Medical Products

Dialysis Products

Laboratory Products

MESSAGE

Your Application has been submitted

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Fill out the required fields in the form.

Download and fill out the required PDF form. Upload the following Documents in the Attach a Document button.

Completed Customer Information Sheet

DTI Business Certificate of Registration (Single proprietor)

SEC Documents (Partnership and Corporation)

Current Mayor’s Permit

BIR Certificate of Registration (2303)

Pictures of Establishment