SmartSpine Reseller Registration Register below to become a SmartSpine reseller! Created by world-renowned master teacher Marie-José Blom, the SmartSpine™ System consists of several support pieces that are designed to help the body find its most productive positioning and placement during Pilates or Yoga exercise, basic movement, and therapy. All components can be warmed in the microwave to help rebalance muscles and improve movement, joint placement, and spatial awareness. The SmartSpine© is not just for Pilates; these tools can also heighten the movement experience in Yoga, Feldenkrais, and all other body-mind practices. If you are interested in distributing SmartSpine products, or would like to establish a training facility, please fill out the form below to set up an account. Name* First Last Company Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Fax NumberWebsite* Wholesale Number*Which best describes your profession?: (check all that apply) Movement educator- private practice Pilates instructor Yoga instructor Gyrotonic instructor Athletic trainer Personal trainer Feldenkrais practitioner Movement therapist Body work/ massage therapist Other Business Entity: (check all that apply) Pilates studio owner Gyrotonic studio owner Fitness/wellness/spa studio owner Yoga studio owner Physical therapy practice Occupational therapist Pre-postnatal care Chiropractic /osteopathic practice Other Years in business/years in profession: less than 3 between 3-10 more than 10 Professional training/educational background: (check all that apply) Long Beach Dance Conditioning Balanced Body Core Dynamics (Michele Larsson) Basi Stott Pilates Peak Pilates Power Pilates Polestar Pilates Physical mind Other Subscription / membership: (check all that apply) Pilates Style Magazine Massage and Bodywork Magazine New England Journal of Medicine Intl. Association Dance Medicine Science PMA Other Retail related business: (check all that apply) Health / spa/ resort boutique Backcare specialty store Sporting goods Health / food specialty store PMA certified Other Other products you distribute/sell: (check all that apply) Pilates related equipment Pilates related equipment Pilates related accessories Health and beauty products Nutritional products Sports/exercise wear Sports/yoga accessories DVD/CD/Books Workshops Other CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.