Thank you for your interest in distributing Advanced Biotechnologies’ products. Applications for the next calendar year term will be accepted until the second Friday in November of the current year. You must submit this form for us to consider you for distributor status.

We will review your application and you will be notified via email if you have been selected to become a distributor.

If you have any questions, please contact

Distributor Application

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Company Information

Estimated 12-month Sales of our Products

Annual Company Total Sales

Thank you for contacting us. Your information will be reviewed by a representative.