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New Customer Registration
Please complete and submit this form to register as a new customer and begin accessing the Aquatropic customer site.
Aquatropic is wholesale only.
Online ordering with real-time inventory
Customer order history
Specials and daily stocklists
Downloadable pricelists and catalogs
Aquatropic sells exclusively to retail and commercial accounts.
Access to online customer site is available only to customers with verified accounts.
If you are already an Aquatropic customer, please go to the
Existing Customer Registration
page.
New Account Information (* Required)
Company name*
Billing address*
Billing city*
Billing state*
(select one)
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARSHALL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PALAU
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
OTHER
Billing zip*
Shipping address same as billing.
Shipping address
Shipping city
Shipping state
(select one)
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARSHALL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PALAU
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
OTHER
Shipping zip
Phone*
Mobile phone
Fax
E-mail*
Web site
Owner's first name*
Owner's last name*
Contact's first name*
Contact's last name*
Aquatropic rep. spoken to (if any)
Type of business*
(select one)
Distributor
Retailer
Institutional
Commercial
Other
If other, please specify:
Is this a chain of stores?*
(select one)
Yes
No
Is business being operated out of house?*
(select one)
Yes
No
Years in business
Hours of operation
Airline Routing (Optional)
FLIGHTS
Airport
Airline
Flight#
Airport
Airline
Flight#
TIMES
All applications are subject to verification of Business License
or Seller's Permit (CA State Required) prior to approval.
To become an Aquatropic customer, we require the following:
Your store to be listed in your local phone directory (Yellow Pages) under the heading of "Pet Stores, Aquariums, Tropical Fish, etc." If your store is new and it has not been listed yet, we also accept a signed lease agreement with a description of the type of business to be conducted.
A copy of your valid business license.
A re-sellers license # (CA residents only).
Questions?
Please check our
FAQ
or call our sales department at (310) 645-1107.
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© 2009 aquatropic | Tel: (310) 846-4040 |
sales@aquatropic.com