Wholesale Registration Page

First Name *

Last Name *

Email *

Company Name (optional)

Phone *

Were you referred to Bio-Groom by someone? *YesNo

If you were referred by someone, please enter their name or unique coupon code (optional)

Password *

Confirm password

DBAs *

How long have you been in business? *

How many employees do you have? *

In order for us not to charge you sales tax, we require a copy of your valid resale certificate. Please upload a copy here.

What customers do you service? (e.g. other retailers, professional groomers, etc.) *

What other shampoo and conditioner brands do you carry? *

Which pets do you focus on? (e.g. dogs, cats, horses, other) *

Which products are you interested in carrying? What sizes? *

We are NOT looking for new partners to sell on 3rd party sites at this time, including Amazon, Walmart, eBay, etc. Please check this box to acknowledge this statement, and affirm that you are not looking to sell Bio-Groom products on Amazon, Walmart, or eBay. *I will not be selling Bio-Groom products on Amazon, Walmart, or eBay.

List all sales channels/marketplaces you intend to sell our products through. If this includes brick and mortar stores please provide the full address. *

MAP Policy Agreement *I have read, and agreed to adhere to, the MAP policy.

Please list your website URL along with any social media accounts for your business: (optional)