Refer Store

Refer a Store

Do you have a local store that you would like to see our products carried in? Fill in the form below and we will contact the store and see if they will like to carry our products.

If you have questions about your order or how to use a certain product, please contact customer service at 1.800.875.0850 or use our contact form instead.

* Required

* Store Name

First Name

Last Name

Email Address

* Phone Number

* Address

* City

* State

* Country

Product(s) you would like carried:

Anxietin Tablets

Neuroveen Tablets

Respitrol Tablets

Synaptol Lactose-Free Tablets

Synaptol Tablets

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