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Please use the form below to register for a Provider Account

About You
Username*
Password* Minimum length of 6 characters.
Repeat Password*
First Name
Last Name
E-mail*
Cell Phone Please include your cell phone's country code
About Your Business
Your Profession
Medical License No.*
Business Name
Street Address
City
State
Postal/Zip
Country
Seminars
Have you completed a Dynamic Tape Seminar?
Would you like us to contact you regarding education opportunities?
Reselling Exclusion
Reselling
- By submitting this application I verify that I will be purchasing product for use in my practice only and product I purchase with my medical discount will not be sold via an online store or any 3rd party eCommerce marketplace.
- 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*
Security*

Send these credentials via email.

Our Company

Our Policies

Our Brand

Dynamic Tape is trusted by professional athletes, major clubs and associations around the world. Find out more on our social media channels.

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Dynamic Tape has been thoroughly tested and recommended by FICS

The International Federation of Sports Chiropractic / Fédération Internationale de Chiropratique du Sport (FICS) is comprised of national chiropractic sports councils worldwide and individual members, and has affiliations with international organizations within the chiropractic profession and the world of sports. The vision of FICS is Empowering Athletes to Maximal Performance…NATURALLY

Tim Cahill on a ball wearing Dynamic Tape

MANAGE LOAD. MANAGE MOVEMENT. MANAGE FUNCTION.

Register

About You

About Your Business

Seminars

Reselling Exclusion

Billing Address

Shipping Address

Our Company

Our Policies

Our Brand

Dynamic Tape has been thoroughly tested and recommended by FICS