If you’re a DME or a Sleep Lab with a DME, and you’re interested in distributing RemZzzs™
to your customers, please fill out the Distribution Application form below.
If you would simply like a free sample to evaluate, fill out the form below and do not
continue on to the second page of the application process. If you are setting up an account
with us for online ordering, please fill out the second page of this form by clicking the
"Continue" button below. Please note that it can take up to 24hrs for your account to
become active with your new wholesale pricing.
Once we review your application, we’ll send you a confirmation email with your distribution
price and ordering information. In the meantime, if you have any questions please email
Note: Please add “firstname.lastname@example.org” to your contact list to prevent this and future
notices from going into your junk folder.
***Please Be Sure to Click the Submit Button Above***
AND / OR
Please Click Continue To Setup Account For Online Ordering