VITALITYfx Products

Wellness Professional

If you are a licensed or certified health care professional, please fill out this form in its entirety and submit. If approved, you will be welcomed by a phone call to let you know that your password is operable. I look forward to working with you.

Sincerely,
Dr. Joe Fawcett
VITALITYfx Products Spokesman

 Steps to register:
  1. Submit Form. Please fill out the registration form below, accept the Reseller Agreement and submit.
  2. Email Login. You will immediately receive an email with your login information, however, you will not be able to login until we activate the password.
  3. Activation call. You will receive a phone call from Dr. Joe Fawcett.
  4. Login. You may login at anytime to view prices and order online.
  5. Training. Be sure to view all the videos and read all the FAQ's as these will answer most of your questions.
Last Name: Required
First Name: Required
Middle Name: Required
Title:  
Type of Health Care Professional (HCP): Required
HCP License #: Required
State Licensed In: Required
Since: Required
Email Address: Required
Website:  
Address: Required
Address 2:  
City: Required
State/Province: Required
Zip/Postal: Required
Office Phone: Required
Office Hours: Required
Best time to call: Required
Cell Phone: Required
Best time to call: Required
Referred by:  
Password for Account: Required
I have read and agree to the VITALITYfx® and PowerToBeWellTM Independent Distributor's Agreement:
Once your form has been completely filled out, submitted and approved, you will receive a confirmation e-mail letting you know your password has been activated so you can access the VITALITYfx® product's wholesale prices, shopping cart, the training videos, the F.A.Q.s, White Papers, and much more. Dr. Joe Fawcett will give you a brief phone call to confirm your password.