Note:

At this time, DMR Supplies is only approving existing clients for an online account.

If you are not yet a customer but are in need of products, please contact us right away to see how we can help!

Use this Contact Us Form to introduce us to your practice and begin the process to become a new client.

New Customer Account

Account Detail
Username* Usernames cannot be changed.
E-mail*
Password* Type your password.
The password must have a minimum strength of MediumStrength indicator
Repeat Password* Type your password again.
- Billing Address
- Country*
- First Name*
- Last Name*
- Company Name
- Address*
- Town / City*
- State / County*
- Postcode / Zip*
- Email Address*
- Phone*
- Ship to a different address?
- Shipping Address
- Country*
- First Name*
- Last Name*
- Company Name
- Address*
- Town / City*
- State / County*
- Postcode / Zip*
*