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Information Request

Become an earthbath Dealer
Interested in carrying earthbath products? Please complete the form below and hit the submit button. We will be in touch with you shortly with more information. Be sure to sign up for our newsletter for our the latest news and promotions from earthbath!
Name*
First Last
Company Name*
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Best time to be reached*
Comments or Questions
Tell us a little bit about your business
What type of business do you have?*
- retail
- wholesale distribution
- online/catalog
- grooming
- self service pet wash
- other
Where do you currently buy your grooming products?*
- Distributor
- Website
- Direct
- Other
What type(s) of pets does your business serve? (check all that apply):*
- dogs
- cats
- horses
- small animals
- birds
- fish
- reptiles
- other
How many physical stores do you have?
What type(s) of earthbath products are you interested in? (check all that apply):*
- shampoo
- grooming foam (waterless shampoo)
- grooming wipes
- ear wipes and eye wipes
- deodorizing spritz
- all of the above
How did you hear about earthbath? (check all that apply):*
- Saw it in a store
- Saw it at a trade show
- Customer requested it
- Read about it in a trade magazine/paper/article
- Read about it in a consumer magazine/paper/article
- Recommended to me
- Other
If you are a Distributor:
How many stores do you service?*
How many sales people do you have?*
What is your sales territory?*
Name
This field is for validation purposes and should be left unchanged.

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Email*

Become an earthbath Dealer

Tell us a little bit about your business

If you are a Distributor: