Application

Teams Application Form

Interested in joining the TEAMS program? Answer a few questions and we'll get in touch with you

To ensure that you are in the right place, can you please select what type of partnership you are looking for?^*

I’m a distributor/promotional company looking to order on behalf of a healthcare organization. TEAMS requires a minimum first order of 75 sets or 150 items.I’m looking to sell MediModa products in a retail environment/wholesale purchase.I’m looking for an individual-based discount for our team members.I’m looking to place a bulk order to outfit our team members. TEAMS requires a minimum first order of 76 sets or 150 items.

First Name^*

Last Name^*

Email^*

Phone Number^*

Company Name^*

Your Designation^*

Company Location^*

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Do you know when you want to place your first order?^*

Let's Talk!^*

I’d like to receive a call within one business dayI prefer to view availability and schedule a time

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Teams Application Form

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