Become a Distributor

You are submitting this application to MedZon Health.

Your signature below indicates that you are an owner, officer, or authorized buyer of Applicant and Applicant agrees to the attached Terms and Conditions. In addition, each of the undersigned (”Applicant”) specifically represents to MedZon Health™, including its subsidiaries and/or affiliates, and to MedZon Health™ or potential agents, brokers, processors, attorneys, insurers, servicers, service providers, successors and assigns ("Seller") and agrees and acknowledges that: (1) the products will not be used for any illegal or prohibited purpose or use; (2) all statements made in this application are made for the purpose of obtaining an extension of credit for business purposes, and not for any personal, family or household purposes; (3) Seller may verify or reverify any information contained in the application from any source named in this application, and Seller may retain the original and/or an electronic record of this application, even if the extension of credit is not approved; (4) Seller may continuously rely on the information contained in the application, and Applicant is obligated to amend and/or supplement the information provided in this application if any of the material facts that Applicant have represented herein should change prior to any sale; (5) Applicant's transmission of this application as an "electronic record" containing Applicant's authorized representative's "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or Applicant's facsimile transmission of this application containing a facsimile of Applicant's authorized representative's signature, shall be as effective, enforceable and valid as paper version of this application were delivered containing an original written signature.