Audiologists and Hearing Professionals

As an Audiologist or other Hearing Professional there are two ways you are able to order the Hearing Aid Sweat Band™:
1. Various Distributors where you currently order hearing related products and supplies carry the Hearing Aid Sweat Band.
2. You can order directly from us at the wholesale price by submitting the information requested below:

*Required Field
1. Practice Name:*
2. Contact Name:* Title: First Name:
Last Name:
3. Position:*
4. Address:*

 

  
5. City:*
6. State:*   Zip:*
7. Country:*
8. Phone: ( )- -
9. Fax: ( )- -
10. E-mail:*
11.

What percentage of sales are to:
    Standard BTEs
    Cochlear Implant Devices
    FM Receiver Aids
    In The Ear Devices
12. What make(s) of hearing aids do you primarily sell?
   
13. How did you hear about us?
   
14. I would like information on retail displays for my office:
15. I would like to receive a sample of the Hearing Aid Sweat Band
Color:  Size:
16. Comments: