Not Finding What You're Looking For? Please Call 1-800-441-2309 for Immediate Assistance. Note: We only ship within the USA and do not import or export.

Please fill in our New Account Form to open a new pharmaceutical account with us and/or complete our Credit Application below to expedite doing business with Hauser Pharmaceutical. A customer service representative will get back to you shortly. Our FCC Consent Form is below also. Thank You, in advance, for trusting in our company.

Note: Each form must be submitted individually.

Credit Application

* Business Information

* All Fields Required
Sole Proprietor :
Partnership :
Corporation :

* Bank Reference:

* Trade Reference:

* A.F.Hauser, Inc. checks all references by fax only, please include fax numbers for ALL references