Dealership / Credit Application

If you are a reseller of medical devices - you may apply for dealership status and a line of credit. Information submitted through this form is handled with the strictist confidentiality. Remember, only established businesses may apply for dealership.

To apply, download the credit application form here in English OR for a Spanish version click here . Fill out the application and fax it back to 631-273-9663 or email it to accounting@adctoday.com.