Wholesale Application

Complete the form below to apply for a wholesale distributor account.

Tell us about you and your business

Full Name *

Email *

Password *

Confirm Password *

Phone

Business / Organization Name *

How did you hear about us?

Date of birth *

You must be 21 or over to hold an account.

Intended Use / Distribution Plan

Please review and accept the terms below

• All products are for laboratory research only -- not for human consumption.

• Products are not approved for human use by the Emirates Drug Establishment (EDE) or any other regulatory authority.

• Purchaser assumes all risks and agrees to indemnify Aura Labs.

I have read and agree to the Indemnity & Research Use Agreement and Terms & Conditions, and confirm these materials are being acquired solely for lawful research use.