and Discount Program Sign up to earn discounts on purchases and referrals Please fill in the Information Form below to take advantage of this opportunity to earn discounts by referring patients and by ordering your clinical supplies and equipment for Rehab and Training. Materials are available to you including Price Lists, FaxBack Order Forms and Post-Card Hand-outs for patients Guidelines and Criteria PT Strategies Corp. is offering its clinical and sports professional customers an opportunity to earn discounts on items that reordered on a regular basis. This can include Swiss balls for resale, stretch bands and tubing for clinic workouts and HEP for patients, Ultrasound Gel for items that patients purchase upon your referral. To earn your 10% discount you must purchase items within a 6 week period from your last order. This inlcudes patient referrals. We are interested in dynamic sports oriented clinicians and clinics to join our program. We believe in rewarding repeat customers who support and promote our cause in providing the best functional and affordable products in the field of sports rehab and training. 10% discount on all products when purchasing an item within a 6 week period from your last date of purchase. Participants of this program will be offered special discounts on a quarterly basis.

Affiliate and Rep Contact Info - please fill in all fields so we can track your earned commissions.
Name:		Requested Rep Info
Facility:			Clinical Professional
Address:			Fitness Professional
Address2:			Currently training/studying to work in a Sports Med or Fitness position.
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State:		How soon can you start?	please select this week this month next month within 3 months no date at this point
Zip:		Your work experience in Rehab Sports Med or Fitness
Phone:		Items most interested in selling/marketing:
Fax:		PTS Website Feedback Info
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