Welcome to the Supply Center




If you are new to The Supply Center, please complete the following information below.


First Name:
Last Name:
Street Address:    
State / Province: Postal Code:
Phone: E-mail:
I am currently a student.   Which school are you attending?

Type of Program:

If other, please specify:

I am a healthcare professional.    
If you are a healthcare professional, you will be required to submit a copy of your license or certification. The Supply Center will contact you for this information as we process your registration.
Type of healthcare practitioner:    
Professional Title:    
License Number:    

Tell us about the clinical modalities used your practice:

Acupuncture   Electro Stim
Herbs Lasers
Vitamins & Supplements


©The Supply Center / KM Enterprises