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Distributor Signup

If you would like to become a ReleaseSCE Distributor, please create an account and further provide copies of both contracts signed; 

- If you are a VAT Registered Business or have a Medical Practice Number, please select the appropriate options from the Business Type field and complete the required details.

- If you are neither of the above and would like to still become a Distributor, please complete the form below and select Other from the Business Type Field. You will be required to upload a Motivation Letter for consideration.

Create a Distributor Account

Please download and sign both contracts below, email them to for approval.

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