Grotek - Organic fertilizers, plant nutrients, and hydroponics equipment

JOIN THE GROTEK DEALER LOCATOR

If you are currently offering Grotek products in your retail store and would like to be added to our Online Dealer Locator, please complete the form below. After receiving your submission, we will review it and if approved your listing will appear in our dealer locator within 2-3 weeks. If you have more than one store location to add to the dealer locator, please submit this form for each location.

Dealer Locator Application

Please complete the following form to request a free listing in the Grotek Online Dealer Locator. If you have any questions or problems, please e-mail us at webmaster@grotek.net.

Your Dealer Information:

* = Required fields

The following information will appear in your dealer listing.

* Store/Company Name:

IMPORTANT:

If you would like to list more than one location, please submit this form for each location.

* Location/Address:

* City:

* State/Province:

* Zip/Postal Code:

* Country:

* State/Province and Zip/Postal Code are only required in Canada and USA.

* Store Phone Number:

(please include area code)

Fax Number:

(please include area code)

Web Site Address:

We have an online store (e-commerce)

* E-Mail Address:

How many Grotek Products
does your store carry?

1-3 Grotek products
3-6 Grotek products
6+ Grotek products

* Which Distributor / Wholesaler
do you purchase stock from?

Distributor Acct #:

(it will expedite your request)

Contact Information:

* = Required fields

Please provide the following contact information. It may be nessassary to contact you regarding this listing. This information will not appear in your listing.

* First Name:

* Last Name:

* E-Mail Address:

* Phone Number:

(please include area code)

Comments:

All information is strictly confidential and will not be used for any purpose other than to accurately serve you and your business.