Interest Forms
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Dr. Mitchell’s Fruit Anthocyanins
Available only to Licensed Healthcare Professionals
To establish a new account, please click on the following link:
Then either digitally fill out or print and complete all forms, then email all completed forms along with a copy of your professional license to:
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Washington state customers must submit a copy of your reseller permit along with the new account information form. If you have not received this permit, click below for a copy of the reseller permit application:
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Established accounts may order by phone or email.
Please include your full name, number of fruits you would like to order (there is a 10 bottle minimum to ensure best shipping costs for all parties), and best phone number to contact you at in your message.
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Dr. Mitchell’s Books are available to everyone!
Contact us by phone at (206) 524-6250 to check for availability.
Sales tax and cost of shipping will be applied.