Wholesale - Splash Supply Company

WHOLESALE APPLICATION

Name *

First

Last

Phone *

Text Consent *

Yes, I agree to receive text messages from Splash Supply Co. at the phone number listed above.
No, I do not want to receive text messages from Splash Supply Co.

Message frequency varies and may include appointment reminders or information from Splash related to your service or order. Message and data rates may apply. Opt out any time by replying ‘stop.’ See our Privacy Policy for details on how we handle your information.

Email *

Business Name *

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

Is your shipping address the same as your business address? *

Business Website URL *

State Contractor Number or EIN *

How would you describe your business? *

Are you a Certified Aquascape Contractor (CAC)? *

Which of the following services are you interested in? (Check all that apply) *

Wholesale Water Feature Supplies
Wholesale Aquatic Plants
Water Feature Design, Engineering & Estimating Assistance
Website Design Services

Once we approve your application, you will have the option to order products from our online store (store.splashsupplyco.com) with contractor discounts. Products can also be purchased in-person at Splash or by phone/text/email. Please call ahead for large orders and custom-cut items like liner and underlayment.

services address? Name

Please choose a USERNAME for your online store and/or plants account(s): *

Please re-enter the PASSWORD for your online store/plants account(s): *

Anything else?

WHOLESALE APPLICATION

STORE

SERVICES

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