Become a Retailer

By becoming an Authorized HORTILUX™ Retailer your store will be listed on our web site in the "Where to Buy" section. You will also receive a login and password to access the latest information on all HORTILUX™ news, new product announcements, sales promotions, in store marketing materials and in-depth hydroponic lighting education to help give your store a higher level of customer service.

Please fill out the application below to become an Authorized HORTILUX™ Retailer. Once you have submitted the application you will receive an e-mail confirmation from us informing you on the requirements to becoming an Authorized HORTILUX™ Retailer.

To list multiple stores please submit an application for each store.

1. Store Name
2. Contact First Name
3. Contact Last Name
4. Contact Title Owner Manager Other
5. Contact Email
6. Owner First Name
7. Owner Last Name
8. Owner Email
9. Address Line 1
10. Address Line 2
11. City
12. Country --Select Country-- Canada United States United Kingdom Andorra Anguilla Argentina Aruba Australia Austria Bahamas Bahrain Barbados Belgium Bermuda Botswana Brazil British Virgin Islands Brunei Cape Verde Cayman Islands Chile China Costa Rica Croatia Cyprus Czech Republic Denmark Dominican Republic Ecuador Estonia Falkland Islands Estonia Fiji Finland France French Guiana French Polynesia Germany Gibraltar Greece Guadeloupe Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Latvia Liechtenstein Lithuania Luxembourg Malaysia Maldives Malta Martinique Mayotte Mexico Montserrat Namibia Netherlands Netherlands Antilles New Caledonia New Zealand Norway Philippines Pitcairn Islands Poland Portugal Qatar Reunion Russia Samoa Singapore Slovakia Slovenia Solomon Islands South Africa South Korea Spain St.Helena St.Kitts And Nevis St.Lucia St.Pierre And Miquelon Sweden Switzerland Taiwan Thailand Togo Tonga Trinidad And Tobago Tunisia Turkey Turks and Caicos Islands Ukraine United Arab Emirates Uruguay Venezuela Vietnam Wallis and Futuna Islands
13. State --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
14. Zip Code
15. Phone
16. Fax
17. Web Site
18. User Name
19. Password