Reseller Application Form

Fields marked with * are required

Contact Information

* You're forgetting something..
* Please enter a valid email.

Business Information

* You're forgetting something..
* You're forgetting something..
* You're forgetting something..
* You're forgetting something..
* You're forgetting something..
* You're forgetting something..
* You're forgetting something..
* You're forgetting something..

Order Type:




If you selected other, please specify why:

* You're forgetting something..
* You're forgetting something..

Thank you for your interest in Ddrops products. Be sure to fully complete the above application with as much information as possible. Only approved resellers are eligible to place an order. Due to the volume of applications, we will contact only successful applicants.

Please note that all orders must be pre-paid and delivery is within Canada or the US.

If a distributor or reseller chooses to export Ddrops® products beyond North America, the distributor assumes all responsibility for the product and medical related inquires. For export purpose, US labeled Ddrops® products are the only format available. Ddrops Company does not prepare nor provide input to export paperwork. Distributors or resellers will be obligated to indemnify the Ddrops Company with respect to any claims arising after resale.

Ddrops Company does not currently have exclusive agreements with any resellers. Ddrops Company pricing is as per the current Ddrops® catalog. This information is confidential and subject to change without notice.

Thanks for reaching out! We'll be in touch soon..