Become a Retailer

Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Extension
Company Name*
Company Website
For the questions below: Only answer YES if this is a requirement or your application could be denied automatically.

Please Note: If you answer NO to all questions, your application will be denied.
Do you have a showroom?*
- Yes
- No
Has your company done business with UltraComfort in the past?*
- Yes
- No
Are you a furniture store?*
- Yes
- No
Are you exclusively online internet dealer?*
(No physical storefront)
- Yes
- No
CAPTCHA

"My mother’s UltraComfort lift chair has changed her whole outlook on life. She feels like she can do things for herself now that she can get out of her chair without help.”

Patricia S. – Dover, DE
“After a long day at my office I found that putting the chair in the zero gravity position just reduces all the tension in my body. Wow… thank you so much for making such a quality product.”

Betty S. – Phoenix, AZ
“We were told that our special order would take 4-6 weeks to come in. We were so pleased when we had it set up in her home in under 4 weeks’ time!"

Julie P. – Oconomowoc, WI