New Vendor Request form

Theratech Innovative Vitamins works with some of the most premier professional supplement manufacturers in the industry. If you are a manufacturer or vendor interested in using Theratech Innovative Vitamins. as your distributor partner to our national client base of Health Care Practitioners, we ask that you please provide us with some general information about you and your company.

We will contact you shortly.

Please fill out and submit the form below to help us get started.

Company Name*

First Name*

Last Name*

Company Position/Title

Office Contact*

Company Address 1*

Company Address 2

City*

State*

Zip Code*
Invali Zip

Phone*

Fax

Email*

Invalid Email

Company Website

Invalid URL

Is your website password protected?

How long has your company been in business?

What type of company?

Are each of your products labeled with a barcode?

Are you currently using any distributors in the USA? If so, Please list.

How many products are in your current catalog?

How did you hear about Theratech Innovative?

Does your company follow the proposed FDA cGMP`s (Current Good Manufacturing Practices ) for nutritional Supplements?

Please select the type that most appropriately describes your line;

Professional product line

Retail product line

Please select the product (s) type that most appropriately describes your line;

Vitamins & Supplements
Ayurvedic
Chinese Traditional

Herbs
Homeopathic Products
Sports Nutrition

Skin Care
Other

Comments

*Statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease