Certified Dealer Request Form

The Certified Dealers are partners who want to ensure their customers get the right solution and support! The first step in the process is to let us know you are interested! Complete the form and click "Submit". Among other criteria, partners are selected based on demand, geographic location, and commitment to customer service!

Your First Name:
Your Last Name:
Your Email:
Phone:
Choose your Username:
If different, enter the business manager or owner's information.
Owner's/Manager's First Name:
Owner's/Manager's Last Name:
Owner's/Manager's Email:
Enter the following information as you want it to be displayed on the website
Store Name:
Store Address:
Store City:
Store State:
Store Postal:
Store Country:
What kind of business are you?

Are you currently selling propane to consumers?	Yes
Do you currently sell Mosquito Magnet products?	Yes
If yes, who do you current purchase from?
Do you have a store with a sign up front?	Yes
If yes, will Mosquito Magnet have designated space in your plan-o-gram?	Yes
Do you agree to stock all traps and accessories?	Yes
Do you have a website that will or has Mosquito Magnet products listed?	Yes
Do you have other outdoor products (grills, patio, gardening products)?	Yes

By requesting to become a Certified Dealer, there is no obligation on your or Woodstream Corporation's behalf to become partners or advertise your business. After submitting the request, information will be communicated about the next steps in becoming part of the 360° Customer Support Network! All requests are pending approval.