Retailer Application - The Aquaponic Source
Become a wholesale retailer of The Aquaponic Source line of aquaponic products.
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Email *
First and Last Name *
Business Name *
Business Street Address
Phone Number
Are you interested in our Wholesale program (higher margins, you carry inventory) or our Drop Ship program?
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Comments on Program Type
How long have you been in business?
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What are your annual sales?
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What type of business? *
If other, please explain:
Tell us about your business and how you plan to sell our products: *
What experience do you have, if any, running an aquaponics system?
How did you hear about us?
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If other, please explain:
Any additional comments
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This form was created inside of The Aquaponic Source.