Ready to put in an order? Get started by filling out the forms below.

STEP 1

Complete the order form below.

STEP 2

FOR NEW CLIENTS ONLY

Complete the credit card form below.

A valid credit card is required and securely stored on file for all reseller accounts. No charges will be made without prior authorization.

The card on file may be used for order processing or outstanding balances in accordance with agreed-upon terms.

By placing an order, you authorize NHLMA to charge the card on file as needed under these conditions.

Have questions about your order?

Please email capillus@nhlma.com or call 786-980-2712 for assistance or additional information.

Thank you, we are so excited you are a part of the program!