EnergiquePro

The Energetics of Holism & Health

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New Account

Thank you for choosing Energique as your partner.

Creating your account is simple. Fill out the form below to gain full access to our website offerings. Once submitted your account will typically be approved the same, or the next, business day. Since our products are only sold to professionals, like yourself, we review all applicants to ensure they are a qualified partner. We look forward to the opportunity to work with you and your team, becoming the “go-to” partner for all your natural product needs.

Energique® provides multiple product modalities so you can personalize and tailor your patient treatment. With over 500 products to select from, our broad selections of Spagyric Herbal Extracts, Homeopathic Remedies, Medicinal Essential Oils and Nutritional Supplements are formulated in-house with quality ingredients and proven technology to provide the best health results.  For assistance or additional information, contact us at  800-869-8078 or Inquiry@EnergiquePro.com

What you’ll see at EnergiquePro …

    • Easy browsing by product and category
    • Search for products by ingredients
    • Online ordering
    • Product information and guides
    • Your one-stop site for optimal health products

Only registered practitioners can order directly from our online catalog, and your patients and the general public who visit the site are encouraged to seek health care through their naturopathic and homeopathic doctors, chiropractors or other experienced health professionals.

New Account Application

    * required fields

    * First Name

    * Last Name

    * Company

    Title

    * Primary Phone Number

    Mobile Phone Number

    * Email

    Website

    * Address (Bill To)

    * City

    * State

    * Zip

    Billing Contact

    Ship To Address (if different than bill to):

    Address (Ship To)

    City

    State

    Zip

    Requires Patient Drop Ship? YesNo

    Energique Rep Affiliation

    * Business/Practice Type?

    Qualifying Credentials

    License State:

    License Number:

    TIN Number (if no license is available):

    Image of License or Diploma (if available):

    If you were referred by another practitioner, please enter their name here.

    What is your preferred method of contact?

    I agree with the Terms & Conditions.

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