Distributor Application

To apply for an ADR Distributorship and gain access to product sales materials, pricing, product ordering, account information and distributor service, please use either:

 Our downloadable distributor application form which can be printed out and faxed.
-Requires Adobe 6

 Our online and secured distributor application form for secured online processing.

Distributor Access Login

 Login to your ADR Distributor account.

For additional comments or to contact a representative about Distributor opportunities, please contact:

Applied Diabetes Research, Inc.

1420 Valwood Parkway, Suite 205
Carrollton, Texas 75006

972-241-1884
800-304-7293 Toll Free
972-241-1855 (fax)
Or, email to [email protected]