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USE CATHETERS? WE DO!

Schedule your catheter shipments with us and we will get you the best deductible available – we promise.

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Living Spinal Podcast for those with Paralysis and in Wheelchairs

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by people living with paralysis.

ACTIVITIES & MORE!

- Innovation and Research

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- Partners & Resources

- Wheelchair Buy Back Program

- Wheelchair Sports

HELPFUL INFORMATION

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- We Accept Insurance

EASY AUTO SHIPPING

Dealer Application Form

Steps for becoming a dealer

Step 1: Fill out the application below to receive an email with pricing and Dealer account setup on Livingspinal.com

Step 2: Create your dealer account using the registration available in the email you will recieve after filling out the information below. Please keep your login credentials so you receive dealer pricing and access to quoting and self generated invoices.

*converting your Log in account on livingspinal.com to a dealer account may take up to 2 business days

Application for New Dealers

First Name *
Last Name *

Phone *

Email - (This will be your login email which receives dealer discounted pricing) *

Website *

EIN Number *

Company *

Business Street Address 1 *
Business City *
Business State *
Business Postal Code *
Business Country *

Checkout other Dealer Products!

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Dealer Application Form

Steps for becoming a dealer

Step 1: Fill out the application below to receive an email with pricing and Dealer account setup on Livingspinal.com

Step 2: Create your dealer account using the registration available in the email you will recieve after filling out the information below. Please keep your login credentials so you receive dealer pricing and access to quoting and self generated invoices.

*converting your Log in account on livingspinal.com to a dealer account may take up to 2 business days

Application for New Dealers

First Name *
Last Name *

Phone *

Email - (This will be your login email which receives dealer discounted pricing) *

Website *

EIN Number *

Company *

Business Street Address 1 *
Business City *
Business State *
Business Postal Code *
Business Country *

Checkout other Dealer Products!

Interesting Image

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Interesting Image

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