Distributors

If you are a Distributor of hearing related products and would like more information about adding the Hearing Aid Sweat Band™ to your product offering, please contact us by filling out the below information or calling us toll free at 866-644-2500.
*Required Field
     
1. Business Name:*
2. Contact Name:* First Name:
Last Name:
3. Address:*

 

  
4. City:*
5. State:*   Zip:*
6. Phone: ( )- -
7. Fax: ( )- -
8. E-mail:*
9. What percentage of sales are to:
 Dispensing Audiologists
Hearing Aid Dealers
End Users
10.

By what means do you sell / distribute your products?
Catalog
Internet
Direct Sales
Other: