Join Our Authorized Reseller Program

We welcome you to join us in this next big breakthrough in sleep wellness and to make a profound impact on the lives of your patients.

Sleep Wave Team

Become a SLEEP WAVE™

Authorized Reseller

Thank you for your interest in SLEEP WAVE’s Authorized Reseller Partnership Program.

This registration form serves as an application for potential reseller partners interested in reselling our products.

Once you fill out the form, our team will revise your application. You will receive an email as soon as we approve your application or we will be in touch with you if we need any additional information.

Authorized resellers purchase SLEEP WAVE’s products at Wholesale prices to resell to their clients directly.

If you have any questions about the registration form or the partnership program itself, please email us at

Register

Email address *

A link to set a new password will be sent to your email address.

User Type *

First Name *

Last Name *

Company Name *

Business Website

Business Address *

Address Line 2

Country and State *

Town / City *

Postcode / ZIP *

How many systems do you expect to sell every 90 days? *

1-6

7-12

13-19

20+

Company Registration - Documents Accepted: Business or Medical License, Employer Identification Number (EIN), or National Provider Identifier (NPI) *
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

VAT (if applicable)

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