Aquarium Supply Distribution
Wholesale Account Application

Please complete this short form. If further information is required we will reach out via email or phone.

Business Requirements:
(must be a pet/aquarium trade business, and must fit into at least one of the categories below)

1.  Brick and Mortar Retail Store.

2. Online Retail Outlet (Social media page only does not qualify). Fully operational website where products and services can be purchased. 

3.  Professional Service Company.  Must carry commercial liability insurance. A website where people can find your services (not just "word of mouth").

4. Re-Distributor. Must have an clear outlet for your products (website, warehouse, etc). Wholesale Tax License. 


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Email *
Legal Company Name *
Link to Business Website (Required without Brick and Mortar)
Best Contact: Full Name / Title *
Owner's Full Name  *
Years in Business *
How did you find us? *
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