Natrol LLC and Jarrow Formulas, Inc.

New Account Application for the United States

Thank you for your interest in joining our valued family of Authorized Sellers. If you would like to apply for an account with Natrol LLC and/or Jarrow Formulas, Inc., please complete and submit this New Account Application.


Please be prepared to attach the following required documents to this application:

  1. A copy of your State Sellers Permit;
  2. A copy of your Resale Certificate or Sales Tax Exemption Certificate;
  3. A copy of your City/Town/County Business License;
  4. A copy of your valid Practitioner or Physician License if you are a practitioner or physician.


Do not submit any sensitive personal information such as social security numbers or credit card numbers.


The information submitted to us in this New Account Application form is governed by our privacy policy. Please see the Jarrow Formulas, Inc. Privacy Policy and Natrol LLC Privacy Policy for more information.


If you have any questions, please contact our New Accounts team via email at newaccount@vytalogy.com or via our web forms on the Natrol website or the Jarrow Formulas website.


To receive a copy of your completed application, be sure to check "Send me a copy of my responses" at the bottom of this application form.


Please note that in the United States, Vytalogy Wellness has a unilateral Minimum Advertised Price Policy for the Natrol and Jarrow Formulas brands. The purpose of this notice is to inform you of the existence of this policy and does not constitute an agreement between you and Vytalogy Wellness or any of its brands, affiliates, or entities regarding the terms of the policy.

 

Applicant's Information

 
 
 
 
 
 
 
 
 
 
 
 
 
Phone
 
Phone
 
 
 
 

Example: 15-048-3782

 

Example: 12-3456789

Do not provide a SSN. If you do not have an EIN, enter "None".

 
 
 

If yes, please attach a copy of your valid Practitioner or Physician license.

 
 
 

 

General Information

 
 
 
 
 
 
 
 

Check all that apply.

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If the Applicant is approved to sell Natrol and/or Jarrow Formulas products, payment terms will be prepay unless and until approved by Natrol and/or Jarrow Formulas for credit terms.


If the Applicant would like to apply for credit terms, please request a credit application from our team.

.

 
 
 
 

Include additional relevant information here.

 
 

 

Attachments

 

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Required documents:


  • A copy of your State Sellers Permit or Resale Certificate


  • A copy of your City/Town/County Business License


  • A completed, signed W-9


  • A copy of your valid Practitioner or Physician license if you are a practitioner or physician


  • At least 5 photographs of your brick-and-mortar storefronts if applying to sell Natrol and/or Jarrow Formulas products in a brick-and-mortar store


Do not submit any sensitive personal information such as social security numbers or credit card numbers.

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Drop your files here
 
 

 

Applicant Certification

By checking the boxes below and typing your name in the "Signature" section below, you agree to the terms set forth next to each of the following terms.


If you do not understand or accept or agree to the terms set forth below, then (1) do not check the boxes below, (2) do not submit this application, and (3) exit this site.

 
 
 
 

Note, this person should be authorized to sign the Agreement on behalf of the Applicant

 
 
 

Applicant's Signature

By typing your name in the "Signature" field below and clicking the "Submit" button at the bottom of this form, you are signing this Natrol and Jarrow Formulas, Inc. New Account Application electronically. You understand and agree that your electronic signature has the same legal force and effect as your manual signature on this application.


You also represent that you are authorized to sign this application form on behalf of the Applicant.

 
 

Example:

/John Doe/

 
 
 
 
mm/dd/yyyy
 

 

To receive a copy of your application, be sure to check "Send me a copy of my responses" below.

 

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