Contact Click Medical^® Sales and Technical Support Starts Here

AMAZON INQUIRIES: We do not sell anything on Amazon, if you have an inquiry about this, please call the correct company at (917)803-0504 or (305)363-5770.

電話

+1 970 670 7012
Hours

Monday–Thursday
9am–5pm (Colorado/ MST)
Friday
9am–3pm (Colorado/ MST)
Mailing Address

私書箱775245
Steamboat Springs, CO 80477 USA
物理的住所

1205 ヒルトップ・パークウェイ
ウェアハウス101
Steamboat Springs, CO 80487 USA
Directions
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Form

Click Reel Registration

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Distributor
Application

Want to Be One of Our Trusted Distribution Partners? Please fill out the form below.

Click Medical® solutions are available in 30+ countries through our distribution partners. See full list here..

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お名前*
名姓
Eメール*
Your Phone Number

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About Your Company
Company Name*
Main Contact*
名姓
Website Address*
Company Phone*
Where is your company headquarters located?*
Complete Address (including country & mailing code)*
住所アドレス・ライン2 都市州 / 県 / 地域郵便番号国名
General Company Email*

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Please check all that are relevant to your business:*
- Distributor
- Patient Care Center
- Central Fabrication Center (Workshop)
- Manufacturer
Please check all that are relevant to the devices your customers are fabricating:*
- Thermoplastic
- Lamination
What are your core areas of business?*
How many branch offices do you operate?*
Please list all the geographic markets and/or countries into which you distribute products:*
What other products and devices do you distribute to the prosthetics and orthotics industry in your country/region?*
What trade fairs and educational events do you attend?*
What differentiates your company from your competitive distributors?*

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Please select how you heard about Click Medical:*
Please share how you heard about us:
Please select which products you have used before:*
- レボフィット
- レボロック
- レボサーフェス
- クイックフィットレーサー
- クイックフィットストラップ
- クイックフィット・バックル
- Other (parts/products no longer available)
- None
What Click Medical products(s) have you used that were not listed?
Does your territory have an accrediting body for licensure?*
- はい
- いいえ
Is there a regulatory requirement for these products in your region?*
- はい
- いいえ
Does your company offer training?*
- はい
- いいえ
Terms and Conditions*
By submitting your distributor application, you have reviewed and you are agreeing to the Click Medical terms and conditions, including: (1) Opening order minimum of $3,000 USD. (2) Payment terms on opening orders are PREPAY. (3) Your establishment will provide Click Medical support through sales and marketing efforts to your customer base.
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