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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:

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)
General E-Mail Address: 
*Type of Store: 
Which "Grotek Branded"
products do you stock? 
Grotek Soft Goods - Fertilizers, Nutrients, Growth Promoters, Foliar Sprays, Solutions, Growing Mediums, etc.
Grotek Hard Goods - XTRASUN™ Lighting Systems, Reflectors, Propagation Trays, Testing Kits, etc.
Grotek Life™ Brand - Complete line of 100% organic and organic-based plant products.
*Which Distributor / Wholesaler
do you purchase stock from? 
Other:
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:
*Contact's E-Mail Address: 
 
  Yes, I would like to receive special offers and
product news from Grotek by e-mail.
(You can unsubscribe at any time)
*Phone Number:  (please include area code and extension)
Comments: 
 
  Your privacy is important to us, read our privacy statement for more information.
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