WHOLESALE APPLICATION

1-801-679-2928
1-888-290-3154  toll-free

Dr. Kirk Moore is excited to now offer qualified customers wholesale pricing! Please fill out the form below to find out if you are eligible for a LipoBeltMD wholesale account. Once we have reviewed and verified your information we will let you know if you qualify for a LipoBeltMD wholesale account.

Please complete all fields. Your information will be kept confidential. Thank you.

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