Permissible Public Website Registration Form
If you purchase SmartMouth® products (the “Products”) from a SmartMouth Authorized Distributor or directly from Triumph Pharmaceuticals Inc. dba SmartMouth (“SmartMouth”) for purposes of resale to end-user consumers, and wish to sell Products on your own proprietary website, you must register your website with SmartMouth. Please note you are not authorized to sell Products on or through your own proprietary website until you have registered that website with SmartMouth.
To complete registration, please (1) review the SmartMouth Authorized Reseller Policy for the United States (“Authorized Reseller Policy”), including the attached Online Sales Guidelines, (2) fill out the Permissible Public Website Registration Form (“Form”) below, and (3) click SUBMIT.
This Form is only used to register “Permissible Public Websites,” as defined in the Authorized Reseller Policy. The Authorized Reseller Policy prohibits you from selling Products on online marketplaces (such as Amazon, eBay, Walmart Marketplace, Facebook Marketplace, and Target+) without SmartMouth’s prior written consent. Consent to sell Products on online marketplaces is not granted through this Form.
This website registration process and the Authorized Reseller Policy are applicable only in the United States of America.
Fields marked with an asterisk are required.