BSi is always looking for good Medical Representative Groups and Distributors who are interested in carrying the FLEXTEND® or COLDFLEX® product lines.

If you have an established company with a good sales record and are interested in selling any of the FLEXTEND® or COLDFLEX® products, please complete form listed below. We look forward to hearing from you!

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	First name
	Last name
	Your Title
	Company Name
	Street address
	City
	State/Province
	Zip/Postal Code
	Country
	Phone
	Fax
	Company Website
	E-mail (Required)
	Questions and Comments