Wholesaler Registration

To become a Dermatech Wholesaler and gain access to our wholesale prices, you will need to fill out the online registration form (below) and also complete the Wholesaler Account Application Form and post it to P.O. Box 25418, Christchurch, New Zealand, or fax it to +64 3 3654729.

Wholesaler Account Application Form

Online Registration Form

Company Name *
Contact Person *
Email Address *
Username *
Password *
Verify Password *
I have read and agree to the Terms of Trade overleaf (including paragraphs 34-38 which limit the amount of Dermatech Limited's liability to the Customer)