GRIPAD®

DISTRIBUTOR


Apply to be an Authorized Gripad Dealer by thoroughly and accurately completing the secure online application form below. Your application will be reviewed for approval within 1 business day. You will be notified by e-mail that you're approved. A catalog will be sent out after approval.

GENERAL INFORMATION
Address Billing Shipping
How did you hear about Gripad?
Personal Experience Magazine Word of Mouth Internet Other
Have you personally used the Gripad brand in the past? Yes No
BUSINESS INFORMATION
Entity Structure
Corp LLC Partnership Individual
Number of years in business
Number of years at current location
Number of Locations
Square Footage
SALES CHANNEL
Gym or Health Club Specialty Fitness
Sporting Goods Rehabilitation Center Personal Trainer
Export/International Catalog Internet

Explanation / History of Business
CONTACT INFORMATION
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