Reseller Application Form
Fill this application if you want to be a reseller. Our team will review and respond to you in 48 hours.
Get Started
Full Name *

Bussiness Name *

Bussiness Address


City *

Country *

Province/State *

Postal/Zip Code *

Business Phone *

Website *

Order Type

Initial order volume (product, # of unit) *

Anticipated annual order volume *

I AGREE, I have read and accept and agree to the above reseller terms, as well as the privacy policy and terms on the NovaFerrum website, prior to submitting this online application *

Gensavis Pharmaceuticals, LLC products is not allowed on any third party marketplace websites (such as Amazon, eBay, Walmart, Bonanza, Rakuten, Jet, Alibaba, Aliexpress, etc.) without the express permission of Gensavis Pharmaceuticals, LLC.…Orders will not be processed until all required information is received and reseller status is granted. Please note that all orders must be pre-paid in USD and delivery must be within the United States unless otherwise negotiated.Gensavis Pharmaceuticals, LLC  does not assist with export of products. If a reseller chooses to export NovaFerrum® products beyond North America, the distributor assumes all responsibility for the product and medical related inquiries. Gensavis Pharmaceuticals, LLC is not responsible for products, including product and medical related inquiries. Gensavis Pharmaceuticals, LLC  is not responsible for product that has been exported by a reseller. Resellers will be obligated to indemnify Gensavis Pharmaceuticals, LLC  with respect to any claims arising after resale.
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