Information Request - Retailer/Reseller Pricing, Policy

If you are interested in Pricing and Policies for Hospitals or Clinics, please click here.

Our award-winning and patented products are used in homes, child care centers, nursing homes, and hundreds of hospitals around the world. The Zakys and Kangaroo Zaks are sold in exclusive boutiques and specialty shops (gift shops, maternity stores, etc.), and are provided to sick and healthy newborn babies in hospitals around the world.

To inquire about how to open an account with us, please fill out the form below and we will contact you promptly.

Thank you for your interest in our company!

About your Company:
Type of organization: Retailer  ------>
Distributor/Rep   
Hospital Store:
Other:
Company/Organization Name:
Reseller License Number/State/Country:
What areas/countries/regions do you service?
Website:
Contact Information:
Name:*
Position:
Phone:
E-mail:*
Address:
City:
State/Province: Zip/Postal Code:
Country:
Are you authorized to make the decision to purchase for your organization? Yes   No
If no, what is the name, position, and contact info of the person that makes this decision?

Name:

Position:

Phone or email:
How did you hear about us?
Include in Mailing List Yes   No
What interests you about our products? 
Any other comments?

           


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