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Account Registration

By creating an online account, you will be able to keep track of items in the shopping cart, keep a wishlist, be up to date on an orders status, and keep track of the orders you have previously made.

Signing up is Quick and Easy! Just fill out the information below:

IMPORTANT: This form is for a professional account. If you are NOT a doctor, you need to use the regular account form. Click Here to access the regular account form.

Personal Details:
Salutation: *
First Name: *
Last Name: *
Date of Birth: Y: M: D: (optional)
ND License number: *
Clinic Address:
Clinic Name: *
Address Line 1: *
Address Line 2:
City: *
Country: *
Province: *
Postal/Zip Code: *
Contact Information:
Telephone # *  ext:
Fax #
Email Address: *
Contact name(s):
(Please list each person's
name on a seperate line.)
Contacts with authorization to order from account:
(Please list each person's
name on a seperate line.)
Clinic Profile:
Type of Clinic *
Owner: *
Practitioner(s): *
(Please list each person's
name on a seperate line.)
Service(s) offered: *
(Please list each service
on a seperate line.)
Payments methods:
I authorize BMS Resources to keep my credit card on file for when I make purchases. At any time I can request that this number be changed or removed.
Your Password:
Password: *
Confirm Password: *
Subscribe to Newsletter:
Receive Newsletter:    
Activate Your Store Membership:
If you are currently signed up for a "BMS Preferred Membership" at our store and would also like to have your membership apply to our online store, please check the box below
Please Apply My Store Membership:
Please Note: Fields with an asterix (*) are mandatory.

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Your Shopping Cart
1 x 
pH Balance 100 Tabs $26.95
 
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pH Balance

Alkalinize your body for life. Pascoe pH Balance has the highest acid binding capacity of any product on the market
Price: $26.95
(Member Price: $24.26)