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This form will require information about your business and contact information needed for us to review. After completing the form please email it to us at orders@bvmedical.com. Please note our review process takes 3-5 business days. Please provide accurate and updated information. All information provided will be in compliance with our Privacy Policy. For more information on our Privacy Policy please refer below. 

For any assistance with the form please email us at orders@bvmedical.com or call us at (888) 822-8293.