Reseller application

Get involved in one of the fastest-growing trends in the health & wellness industry! If your company is involved in health and wellness (be it Medical, Retail, Supply or Distribution), you can now offer your clients all the benefits of the latest in red & infrared technology. Photizo specializes in the manufacturing of the latest red and infrared light therapy units for home use! Simply register as a Photizo Reseller to qualify for our very competitive trade prices.

You can now fill out our reseller application online or alternatively, you can download the printable PDF version to fill out. Once your application has been approved, we will provide you with trade prices and details of the order/delivery procedures.

Please take note of the following, payment methods accepted by Photizo:

Cash
EFT
Credit Card
Terms as per your individual account

Online Reseller Application Form

Fields marked with “*” are compulsory.

Registered name of business *

Trade name of business (if different)

Office number (or cellular) *

Physical address *

Country *

Company website URL

Type of business (form of incorporation) *
Choose one below:

Company Registration Number

VAT Number

Nature of business *
Choose one below:

Short description of business *

Photizo contact person spoken to

Email address for quotes & invoices *

Primary contact person name *

Primary mobile number *

Primary email address *

Accounts name

Accounts contact number

Accounts email

Buyer name

Buyer contact number

Buyer email

Where did you hear about us? *

Reseller application

Online Reseller Application Form

Contact

Physical address

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