Account Application

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To qualify as a dealer, you must meet the following criteria:

• Operate a physical retail store with a valid reseller number.
• Provide professional aquarium services as a registered company.

We will not respond to inquiries that do not meet the above criteria.

Account Application

Complete this simple form, and you will receive an email once your account is approved.

Company Name

Company Tax ID

First Name

Last Name

Email

Billing Address

Phone Number

Website

First Name

Last Name

Company/Attention

Address

Suite, etc

City

State

<Select One> Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Business Type

<Select One> Full Line Pet Store Aquarium Store Service Company

Product Interested in?

Submit