Pro Application Form

Please fill in all required fields correctly.

States That Require Tax Exempt Certificate ( Click Here )

Your account will be charged sales tax in the following states unless you provide a valid, signed and dated exemption certificate:

  1. ARKANSAS
  2. ARIZONA
  3. CALIFORNIA
  4. COLORADO
  5. CONNECTICUT
  6. FLORIDA
  7. GEORGIA
  8. HAWAII
  9. IDAHO
  10. ILLINOIS
  11. INDIANA
  12. KANSAS
  13. KENTUCKY
  14. LOUISIANA
  15. MASSACHUSETTS
  16. MARYLAND
  17. MAINE
  18. MICHIGAN
  19. MINNESOTA
  20. MISSOURI
  21. NORTH CAROLINA
  22. NEBRASKA
  23. NEW JERSEY
  24. NEW MEXICO
  25. NEVADA
  26. NEW YORK
  27. OHIO
  28. PENNSYLVANIA
  29. SOUTH CAROLINA
  30. TENNESSEE
  31. TEXAS
  32. UTAH
  33. VIRGINIA
  34. VERMONT
  35. WASHINGTON
  36. WISCONSIN
  37. WYOMING

Practice/Clinic Information

Additional Information

POLICIES

To create this account, you must agree to the following:

1. Terms and Conditions

2. Authorized Reseller Policy

3. UMAP Policy

Are you a retailer interested in selling Quicksilver Scientific? Please contact qs.retail.orders@quicksilverscientific.com.

Are you international and interested in Quicksilver Scientific? Please contact support@quicksilverscientific.com.

1. Terms and Conditions

All prices are subject to change without notice. We are not liable for errors or omissions. Certain products are formulated specifically for licensed practitioners. Quicksilver Scientific believes that the guidance of a qualified practitioner is important in order to maximize the effectiveness of professional-strength supplements. As a result, these products are for sale to licensed healthcare professionals only.

(For purposes of this policy, “practitioners” are individuals that hold a license in the healthcare field which sufficiently qualifies the individual to advise others on concerns of nutrition and personal health.) All resellers of practitioner only products must have a licensed healthcare practitioner on staff and provide their credentials for review and approval by Quicksilver Scientific. Supplier shall not be liable for:

(i) loss, damage or delay resulting from any cause whatsoever beyond the reasonable control of Supplier and

(ii) consequential, incidental, punitive or special damages, loss or expense to any or all of Dealer and others for any reason(s) whatsoever.

Text Marketing & Notifications

By consenting to Quicksilver Scientific’s SMS marketing in the checkout and initializing a purchase or subscribing via our subscription tools, you agree to receive recurring text notifications (for your order, including abandoned checkout reminders), text marketing offers, and transactional texts, including requests for reviews from us, even if your mobile number is registered on any state or federal do-not-call list. Message frequency varies. Consent is not a condition of purchase.

If you wish to unsubscribe from receiving text marketing messages and notifications, reply with STOP to any mobile message sent from us or use the unsubscribe link we provided you within any of our messages. You understand and agree that alternative methods of opting out, such as using alternative words or requests, will not be considered a reasonable means of opting out. We do not charge for the service, but you are responsible for all charges and fees associated with text messaging imposed by your wireless provider. Message and data rates may apply.

For any questions, please text HELP to the number you received the messages from. You can also contact us here (https://www.quicksilverscientific.com/contact-us/) for more information.

We have the right to modify any telephone number or short code we use to operate the service at any time. You will be notified on such occasions. You agree that any messages you send to a telephone number or short code we have changed, including any STOP or HELP requests, may not be received, and we will not be liable for honoring requests made in such messages.

To the extent permitted by applicable law, you agree that we will not be liable for failed, delayed, or misdirected delivery of any information sent through the service, any errors in such information, and/or any action you may or may not take in reliance on the information or Service.

Your right to privacy is important to us. You can see our Privacy Policy here (https://www.quicksilverscientific.com/privacy-policy/) to determine how we collect and use your personal information.

2. Brand Protection Policy for the United States

Quicksilver Scientific, Inc. BRAND PROTECTION POLICY FOR THE UNITED STATES Effective Date: April 1, 2024 This Quicksilver Scientific, Inc. Brand Protection Policy for the United States (“Brand Protection Policy”) is issued by Quicksilver Scientific, Inc. (“Quicksilver”) and applies to Authorized Resellers of Quicksilver products, including, but not limited to, Quicksilver Scientific, Quinton, QuintEssential, and Golden Hour-branded products and any other brands manufactured or sold by Quicksilver (collectively, “Product(s)”) in the United States of America. By purchasing Products from Quicksilver for resale, you (“Reseller”) agree to adhere to the following terms. This Brand Protection Policy supplements any then-current wholesale agreement between you and Quicksilver. Until such status is otherwise revoked by Quicksilver, in Quicksilver’s sole and absolute discretion, Reseller shall be considered an “Authorized Reseller.” Quicksilver may review Reseller’s activities for compliance with this Brand Protection Policy, and Reseller agrees to cooperate with any such investigation, including, but not limited to, permitting inspection of Reseller’s facilities and records related to the sale of the Products.

3. UMAP Policy

Under the UMAP Policy, dealers, distributors, and retailers (“resellers”) of Supplier’s Products covered by this Policy, may not advertise in any media, e.g., television, radio, newspapers, magazines, catalogs, direct mail pieces and flyers or on any Internet sites for more than 10% below the MSRP (retail prices) indicated in the latest Supplier Product Catalogs or Price Sheets for such Products. The UMAP Policy is inclusive of all of the reseller’s advertising including on all third-party internet sites and/or pages that name or direct traffic to the reseller such as search engines, e.g., Amazon ® Google®, Yahoo™, etc. The current Price Lists for the Supplier Products are available to all resellers and sales representatives from Supplier.It is inconsistent with the UMAP Policy for such Products to be advertised together at a single price that is lower than the sum of the individual UMAP Prices for those Products. Advertised rebates, other than those offered directly to consumers by Supplier, are not consistent with the UMAP Policy if the advertised net price (including the advertised rebate) for the product is below the UMAP Price. Any advertisement that depicts a UMAP Product, with or without a price associated with it, and offers, expressly or by implication, to sell the depicted product(s) at a discount that is clearly below the UMAP Price, is also inconsistent with this policy, e.g., 50% off all Products, Buy One Get One Free.It is Supplier’s intention and policy not to deal with any reseller that advertises Supplier Products at prices that are below the UMAP Price. It is the decision of the reseller to advertise at any price they choose, as long as it is not less than the UMAP Price.The UMAP Policy does not cover point-of-sale signs, stickers, hangtags, or bar codes and similar markings on Products or product packaging which merely state the retail prices at which such Products may be purchased or include a price quotation sent via email to a consumer if initiated at the consumer’s request, first time purchase discounts, or subscription discounts. Most importantly, the UMAP Policy does not apply in any way to a reseller’s actual selling price. The retail sales prices for any and such Products remain wholly within a reseller’s discretion.We do not seek, nor will we accept, any agreement or assent from a reseller respecting the UMAP Policy, either now or at any future time. This policy is being established by Supplier unilaterally and is not therefore subject to negotiation. We reserve the right at any time to modify this policy, to establish new or different policies or to discontinue any or all of such policies.If there is a violation of the UMAP Policy there will be consequences, up to and including suspension or discontinuance of Suppliers business relationship with such reseller. For a first time violation of this UMAP Policy, the reseller will receive a written warning, for a second violation there will be a temporary hold on the shipping of Product to reseller for a period of time determined by the Supplier, and for a third violation Supplier will terminate the business relationship with the reseller. We believe that our policies are clear and unambiguous. Should you have any inquiries regarding these policies, please direct them in writing to:Attention:Quicksilver Scientific. Inc.1960 Cherry Street Louisville, Colorado 80027E-mail: support@quicksilverscientific.com