ALLELES Wholesale Account Application

The following form is intended for Prosthetic Clinics who wish to apply for wholesale pricing. Completing and submitting this form will send the information to the ALLELES team for processing. If your account is approved, you will receive an email detailing your account information and details on how to place orders. 

An ALLELES wholesale account only allows orders to be submitted online, and payment will be required when placing the order. If you would like to discuss other options, please submit the form & indicate you would like more information, and our team will be sure to get in touch!