New Dealer/Distributor/Innkeeper Registration

If you are not a dealer and wish to purchase our product please click here for a list of Online Dealers offering inSPAration products.

Please enter the following information, and keep a record of it. You will need this information to log onto your inSPAration account after your account has been approved. For questions please call us at (800) 882-0037.

 * Required Fields.

*Industry Type:

If you are not a dealer/distributor and you would like to be notified by inSPAration.com for new product information, Click Here.

*Company Name:

*Name:(First)

*(Last)

Your phone number will be used as your login customer number. Please enter your 10 digit numeric business phone number (example: 8055551234 No Dashes)

*Phone/Login:

Fax:

After completing an order a receipt will be sent to the email address you provide. Please create a password for your account that is between 5 and 15 characters long.

*E-mail:

*Password:

*Re-type Password:

Billing Address (Your Billing information must be entered exactly as it appears on your credit card statement.)

*Company Name:

*Address Line 1:

Address Line 2:

*City:

*State:

*Zip:

Please use 5 digit zip code only

*Country:

Shipping Address   (Sorry, No shipping to P.O. Boxes)

If shipping address is the same as above click copy.

*Ship To Company:

*Address Line 1:

Address Line 2:

*City:

*State:

*Zip:

Please use 5 digit zip code only

*Country:

Comments, Questions?

*Is this your first time purchasing from inSPAration?

*How did you First hear about us?:



Additional Details?:

I would like to be notified by inSPAration.com when new products or specials are available.

I would like to be added to inSPAration.com's custom Store Locater page.
(Must be a stocking inSPAration products retailer!)

Please Fax Price Sheet

Please Email Price Sheet (Adobe pdf.)

Sales Rep:

*Form Verification:

This Is CAPTCHA Image

*Type the numbers
in the image above.

Once your account is approved you will be notified by email within 24 hrs. You will have access to our Authorized Shopping area after you receive your approval email. This will allow access to all our specials and special programs.

Thank You!