Preferred Dealer Membership

Dealership Name*
Key Contact*
First Last
Account Email*

Please enter the email you wish to control your store listing with. This will also be the email you will receive updates on your "Preferred Partner" account status.
Only one account will be granted per dealer (group/chain of stores.) All affiliated store locations will be tied to the account in future steps. Multiple signups will be denied and will delay the process.

Information Pertaining to Your Company's Store Location(s)

Please fill the fields out below in its entirety.
If you have more than one location, please click the "+" symbol in the bottom left hand corner to prompt another set of fields to appear. It is important that we get all of your most updated information to be included in our locator tool.
Where is Your Business Located?*
- United States
- Canada
- International
- We do not have a location - Online Store
Dealership Location*
Street Address Address Line 2 City State ZIP Code
Dealership Location*
Street Address Address Line 2 City Province Postal Code
Dealership Location*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dealership Phone Number
**Business Line
Email
Email used for customers to contact your store:

Share your website and social media links with us to add even more content to your new web listing page
Company Website:
Company Facebook URL:
Company Twitter URL:
Company Pinterest URL:
Company LinkedIn URL:
Google+ URL:
YouTube URL:

Aquabot Dealer & Service Centers