apara new dealer signup

To become a distributor of apara, simply fill out the following form. You will then be redirected to a credit application which you will need to fill out and mail to the address indicated on the form.

* Denotes Required Fields.

Business Name: *
Contact: *
Address Line 1: *
Address Line 2:
City: *
State / Province: *
Zip / Postal Code: *
Country: *
Phone: + *
Please enter your phone number as
numeric digits only, no parentheses or dashes
E-mail: *
Web Site:
Comments:

Existing Dealers:
apara B2B Program
If you have an account and wish to sign up for our online B2B ordering system please click here.

Current B2B customers:
Click here to access the B2B Web Store.

apara, LLC.
2001 T.W. Alexander Drive,
Durham, NC 27709-3925
Toll Free at 1-800-446-7587
Fax: 919-314-1960

©2011 apara
apara is a registered trademark of Implus Footcare LLC.