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Special Pricing Application





Facility/Company Information






Tax Information



Tax Exempt organizations (e.g. non-profits, schools, government agencies, etc) must supply a Tax Exempt Certificate. Resellers must supply a Resale Certificate.

Contact Information

Main Contact

Accounting Contact

Sales Contact

Shipping Information

Can supply different Shipping Address at Checkout, as needed.

Carrier Information



There is a 15% fee for all drop ship orders. Payment by credit card or wire transfer is due at the time of ordering, unless credit preapproved. Payment Terms are NET 30 after credit application approval unless otherwise requested.



Payment Terms are 100% payment upfront via credit card or wire transfer. See Foxx Life Banking Information Form.

Please note: Foxx Life Sciences reserves the right to verify the accuracy of any information provided. Online pricing will not reflect Special Pricing until application approval. To Qualify for Net 30 payment terms, please fill out a Credit Application. All other orders must be prepaid.

Be sure to complete all applicable areas of the application. We will notify the listed Main Contact of application status upon review completion. Please allow 5-7 business days for our review process. If you have any questions, please contact us at 603-890-3699 or sales@foxxlifesciences.com