New Customer Application

If you are interested in becoming a Palko customer, please download, fill out, and sign one of our new customer forms (choose from 2 electronic versions) below and submit it to us for approval via mail, email or fax. Please complete all fields and be sure to sign!

Retailers ONLY, please!

A representative will contact you shortly for verification and to complete the application process.

Click here for a PDF form. Adobe® Reader® (free download from Adobe Systems) or other Portable Document Format (PDF) software required to view and electronically complete this form.

Click here for the Microsoft Excel version. Microsoft Excel required to view this form.

Quick Facts

We now serve accounts in all 50 states, Canada, Puerto Rico, Great Britain, and the U.S. Virgin Islands.

Our catalogs, discounts, pricing, internet, and all other information are updated and published monthly.

We are flexible and quick to respond to trends and changes and to make new products available.

All new accounts will be set up as C.O.D. or Credit Card ONLY. Payment information will be gathered during the follow up call. New fitness centers will be Credit Card ONLY!

New accounts can apply for terms after 6 months and/or 6 orders.

Click here to review our General Information & Policies Page.