Reseller Account Application

We create and market the most award winning nutritional supplements in the Natural Product Industry. Our guiding principle of Truth, Trust and Transparency governs every decision and action. We are selective about who we partner with to sell our products through a thorough vetting process that could take up to 30 days. Please complete the questionnaire below. We look forward to working together.

Retailer type:
Billing Address (if different)
Company Information
Does your company have a website on which our products will be sold?
Please provide credit card information for your Minimum Opening order ($200)
Credit card type
By signing below I acknowledge the above is true and correct. I understand that completion of this form does not guarantee a Vibrant Health Reseller Account. I understand that failure to abide by all Vibrant Health policies, including MAP (Minimum Advertised Pricing), terms and conditions will result in termination of the relationship.