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Yes, I have read and understood the Proposition 65 requirements for warning stickers to be applied to specific PRL products (the list of which I have also reviewed) that I sell in the state of California

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Please identify the URL for each website where you sell or intend to sell PRL Products (including any ePharmacy website described more fully below). If you do not sell or intend to sell the PRL Products on any online forum, mark “N/A” below.

Please note that consent to sell the Products on online marketplaces (including but not limited to Amazon, eBay, and Walmart Marketplace) is not granted through this Registration and Authorization Form.

Permissible Public Website Sales: If you presently sell or are interested in selling the PRL Products on your own proprietary website, the website must (i) be operated by you in your own legal or registered fictitious name, (ii) conspicuously state your legal name or registered fictitious name and contact information, (iii) not give the appearance that they are operated by PRL or any third party, (iv) have been registered with PRL through this Registration and Authorization Form, and (v) be operated in compliance with the Premier Research Labs Online Sales Guidelines, which are set forth in the Authorized Professional Resale Agreement of Premier Research Labs, LP.

ePharmacy Sales: If you presently sell or are interested in selling the PRL Products through an “ePharmacy,” please also disclose it in the Authorization and registration Form. An “ePharmacy” is a website, micro-site, or other mobile application that (i) is operated by a distributor in a distributor’s legal name or registered fictitious name, (ii) is primarily used to facilitate Product orders from end users on your behalf, (iii) requires the prospective end user to create an account with your preapproval and log-in to purchase the Products, and (iv) is operated in compliance with the terms and conditions set forth in the Premier Research Labs ePharmacy Online Guidelines, which are set forth in the Authorized Professional Resale Agreement of Premier Research Labs, LP.

From which sources, including PRL and all distributor(s), do you or do you intend to purchase PRL Products?

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I have read, accept, and agree to abide by the Terms of Use and the Authorized Professional Resale Agreement of Premier Research Labs, LP (“Agreement”), and I represent and certify on behalf of the health professional reseller that (a) all of the information submitted in this Registration and Authorization Form is true, correct, and current and (b) my checking of this box is intended by me to record such agreement as if actually signed by me, including my agreement to adhere to the Agreement.

FOR INFORMATIONAL PURPOSES ONLY: PRL has a unilateral minimum advertised price policy in the United States for certain of its Products, accessible here (MAP Policy). The purpose of this section is to alert you to the existence of the MAP Policy. PRL does not solicit and it does not accept any assurances of compliance with the MAP Policy from any of its health professional resellers. The MAP Policy also does not constitute an agreement between PRL or any other person or entity. Each health professional reseller must independently decide whether to comply with the MAP Policy.

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$44.98

Probiotic-fermented green tea formula with a full spectrum of naturally occurring polyphenols*

Green Tea - ND™ (Fermented) (8 oz) Probiotic-Fermented Green Tea Formula
$23.98

Concentrated green tea extract with immune-supportive, antioxidant power EGCG*

Green Tea Extract, Premier Premier Antioxidant Power with EGCG*
$31.98

Advanced nutrition to promote healthy joints, discs and connective tissue function.*

Joint & Disc, Premier Healthy Joint & Disc Support with Minor Pain Relief*
Out of Stock

$31.98

Botanical formula featuring LJ100^®, supporting men's health, strength and performance*

Men's Performance Edge Men's Health Support With LJ100® Eurycoma
$16.98

energy metabolism support and helps maintain healthy skin and digestive function

Niacin, Premier Vitamin B3 as Inositol Hexanicotinate
$71.98

Advanced Men's Botanical Sexual Support with Testofen^® and LJ100^®

Testosterone Premium Advanced Men's Botanical Sexual Support with Testofen® and LJ100®

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