Credit Application Form To open a Moore Medical line of credit, please complete this form and mail
or fax back to us.
Authorization to Purchase - Public Sector For public sector organizations only (i.e. Government, Corrections and Schools).
Complete and return this form to confirm a request to open an account for
Methamphetamine Control Act-Pseudoephedrine Form The Methamphetamine Control Act of 1997 regulates the distribution of all List I Chemicals (all products containing Pseudoephedrine). The attached letter certifies that your use of these products is in direct compliance with this Act.
Florida Sole Proprietor Letter For Florida customers only. This form is needed to determine if a customer is a Sole Proprietor. If the customer is not a Sole Proprietor, an HCCE permit is required.
Ohio Sole Proprietor Letter For Ohio customers only. This form is needed to determine if a customer is a Sole Proprietor. If the customer is not a Sole Proprietor, a Terminal Distributor of Dangerous Drugs (TDDD) license is required.