"Making Species Specific Diets for Decades!"

Online Reseller Qualification

Each of us at Hikari^® Sales USA, Inc. appreciates your interest in offering your customers the Hikari^®, Bio-Pure^®, Aquarium Solutions^®, Pond Solutions^®, or Reptile Solutions^® line of products. If you are currently an online retailer please note that online resellers of our products must be approved by us in advance to use any of our trade dress, trademarks, product images or other intellectual property. Failure to submit an Online Reseller Approval Form will result in the reseller's name being put on our unapproved listing which could preclude your distributor/supplier from selling to you. To initiate the approval process, please complete the information below. You will then be contacted by our MAPP team. Thanks for your interest in offering our products to your online customers.

Company Name required Name required Address Line 1 required Address Line 2 City required State/Province/Region required Postal/Zip Code required Country required Is it a home-based business? required Yes No		Phone required Fax Email required Website(s) Operated required Owner required Buyer required Online Pricing Manager required
Platforms Products Sold On required Warehouse Size (sq.ft) required Number of Employees required Top 10 Aquatic Product Lines Currently Sold required Aquatic Product Sales Last Month required Aquatic Product Sales Two Months Ago required Aquatic Product Sales Three Months Ago required Average Aquatic Product Sales For Prior 12 Months required What type of products do you sell? required Freshwater Fish Products Saltwater Fish Products Reptile Products Bird Products Total number of Hikari items currently in stock required		Current Primary Distributor You Purchase Products From required Your Contact With That Distributor (Name & Email) required Current Secondary Distributor Contact With Second Distributor (Name & Email) Current Third Distributor Contact With Third Distributor (Name & Email) How Many MAPP Violations For Any Vendor Has Your Site(s) Had In The Past 90 Days? *required
Which Hikari products do you currently stock? Please click all that apply.
Goldfish Saki-Hikari^® Fancy Goldfish Hikari^® Goldfish Gold Hikari^® Oranda Gold Hikari^® Lionhead Hikari^® Wheat-Germ Hikari^® Sinking Excel Hikari^® Goldfish Staple Cichlid Cichlid Gold^™ Sinking Cichlid Gold^® Cichlid ^®Bio-Gold+ Cichlid Excel^® Sinking Cichlid Excel^® Cichlid Staple^™ Blood Red Parrot+^® Marine Saki-Hikari^® Herbivore Saki-Hikari^® Carnivore Marine -A-^® Marine -S-^™ Coralific Delite^™ Seaweed Extreme^™ Reptile Saki-Hikari^® Turtle Pak Attack^™ CrestGel^™ LeopaGel^™ DragonGel^™ Dragon Delite^™ Bio-Pure Freeze Dried FD Blood Worms FD Brine Shrimp FD Daphnia FD Krill FD Ocean Plankton FD Spirulina Brine Shrimp FD Tubifex Worms	Koi/Pond Saki-Hikari^® Deep Red^™ Saki-Hikari^® Pure White^™ Saki-Hikari^® Multi-Season Saki-Hikari^® Growth Saki-Hikari^® Color Enhancing Hikari^® Gold^® Hikari^® Hi-Growth^™ Hikari^® Spirulina Hikari^® Wheat-Germ Hikari^® Sinking Wheat-Germ Hikari^® Excel^™ Hikari^® Staple^™ Hikari^® Economy^™ Silkworm Selects^™ Bio-Pure Frozen Baby Brine Shrimp Blood Worms Brine Shrimp Clam On A Half Shell Coral Gumbo^™ Cyclopod+^™ Daphnia Discus Gammarus Jumbo Blood Worms Jumbo Mysis Shrimp Krill Mega-Marine^™ Mega-Marine^™ Algae Mega-Marine^™ Angel Mysis Shrimp Ocean Plankton Okanagan Lake Freshwater Mysis Shrimp Rotifers Silversides Spirulina Brine Shrimp Squid Tubifex Worms Omega Brine Shrimp Reef Riot^™ Carnivore Reef Riot^™ Herbivore		Tropical Algae Wafers^™ Betta Bio-Gold^® Crab Cuisine^® Discus Bio-Gold^® Fancy Guppy^® First Bites^® Food Sticks^™ Jumbo CarniSticks^® Massivore Delite^® Micro Pellets^® Micro Wafers^® Mini Algae Wafers^™ Shrimp Cuisine^™ Sinking Carnivore^® Pellets Sinking Wafers^® Vibra Bites^™ Water Quality Betta Revive^™ Herbal Betta Revive^™ Betta Ultimate^® Quick Ich-X^® GermGone^™ GermGone^™ Reptile BiFuran+^™ Metro+^™ Stress-X^™ Ich-X^® Ich-X^® SW CyroPro^™ PraziPro^™ ClorAm-X^® Ultimate^® Accessories Check Valve AccuProbe^™ Mini Hydrometer AccuProbe^™ Hydrometer Bacto-Surge^™ Sponges
Include me in the preferred customer alert system Prove you're human! What is 5 + 3? required By submitting this Online Reseller Approval Form we are confirming we understand we have to be approved before we are authorized to use any of the IP of Hikari Sales USA, Inc.. We agree to notify Hikari Sales USA, Inc. of any change to the personnel when it occurs. We agree to provide Hikari Sales USA, Inc. with a monthly report of the sales of their items from each of our sites and a report of the total sales to each state they were sold in to. We agree to donate 1% of our monthly sales to Pets In The Classroom to reinvest in the pet industry, proof of which is required each month to maintain our approval if granted. We further understand failure to provide the reports and make the donation as described above will jeopardize our approved status. Finally, we understand that any approval is for our own use only and does not authorize us to sell any Hikari Sales USA, Inc. product to any other seller under any circumstances. required

You can also email us at fish@hikariusa.com or call 800-621-5619

Company Name required Name required Address Line 1 required Address Line 2 City required State/Province/Region required Postal/Zip Code required Country required Is it a home-based business? required Yes No		Phone required Fax Email required Website(s) Operated required Owner required Buyer required Online Pricing Manager required
Platforms Products Sold On required Warehouse Size (sq.ft) required Number of Employees required Top 10 Aquatic Product Lines Currently Sold required Aquatic Product Sales Last Month required Aquatic Product Sales Two Months Ago required Aquatic Product Sales Three Months Ago required Average Aquatic Product Sales For Prior 12 Months required What type of products do you sell? required Freshwater Fish Products Saltwater Fish Products Reptile Products Bird Products Total number of Hikari items currently in stock required		Current Primary Distributor You Purchase Products From required Your Contact With That Distributor (Name & Email) required Current Secondary Distributor Contact With Second Distributor (Name & Email) Current Third Distributor Contact With Third Distributor (Name & Email) How Many MAPP Violations For Any Vendor Has Your Site(s) Had In The Past 90 Days? *required
Which Hikari products do you currently stock? Please click all that apply.
Goldfish Saki-Hikari^® Fancy Goldfish Hikari^® Goldfish Gold Hikari^® Oranda Gold Hikari^® Lionhead Hikari^® Wheat-Germ Hikari^® Sinking Excel Hikari^® Goldfish Staple Cichlid Cichlid Gold^™ Sinking Cichlid Gold^® Cichlid ^®Bio-Gold+ Cichlid Excel^® Sinking Cichlid Excel^® Cichlid Staple^™ Blood Red Parrot+^® Marine Saki-Hikari^® Herbivore Saki-Hikari^® Carnivore Marine -A-^® Marine -S-^™ Coralific Delite^™ Seaweed Extreme^™ Reptile Saki-Hikari^® Turtle Pak Attack^™ CrestGel^™ LeopaGel^™ DragonGel^™ Dragon Delite^™ Bio-Pure Freeze Dried FD Blood Worms FD Brine Shrimp FD Daphnia FD Krill FD Ocean Plankton FD Spirulina Brine Shrimp FD Tubifex Worms	Koi/Pond Saki-Hikari^® Deep Red^™ Saki-Hikari^® Pure White^™ Saki-Hikari^® Multi-Season Saki-Hikari^® Growth Saki-Hikari^® Color Enhancing Hikari^® Gold^® Hikari^® Hi-Growth^™ Hikari^® Spirulina Hikari^® Wheat-Germ Hikari^® Sinking Wheat-Germ Hikari^® Excel^™ Hikari^® Staple^™ Hikari^® Economy^™ Silkworm Selects^™ Bio-Pure Frozen Baby Brine Shrimp Blood Worms Brine Shrimp Clam On A Half Shell Coral Gumbo^™ Cyclopod+^™ Daphnia Discus Gammarus Jumbo Blood Worms Jumbo Mysis Shrimp Krill Mega-Marine^™ Mega-Marine^™ Algae Mega-Marine^™ Angel Mysis Shrimp Ocean Plankton Okanagan Lake Freshwater Mysis Shrimp Rotifers Silversides Spirulina Brine Shrimp Squid Tubifex Worms Omega Brine Shrimp Reef Riot^™ Carnivore Reef Riot^™ Herbivore		Tropical Algae Wafers^™ Betta Bio-Gold^® Crab Cuisine^® Discus Bio-Gold^® Fancy Guppy^® First Bites^® Food Sticks^™ Jumbo CarniSticks^® Massivore Delite^® Micro Pellets^® Micro Wafers^® Mini Algae Wafers^™ Shrimp Cuisine^™ Sinking Carnivore^® Pellets Sinking Wafers^® Vibra Bites^™ Water Quality Betta Revive^™ Herbal Betta Revive^™ Betta Ultimate^® Quick Ich-X^® GermGone^™ GermGone^™ Reptile BiFuran+^™ Metro+^™ Stress-X^™ Ich-X^® Ich-X^® SW CyroPro^™ PraziPro^™ ClorAm-X^® Ultimate^® Accessories Check Valve AccuProbe^™ Mini Hydrometer AccuProbe^™ Hydrometer Bacto-Surge^™ Sponges
Include me in the preferred customer alert system Prove you're human! What is 5 + 3? required By submitting this Online Reseller Approval Form we are confirming we understand we have to be approved before we are authorized to use any of the IP of Hikari Sales USA, Inc.. We agree to notify Hikari Sales USA, Inc. of any change to the personnel when it occurs. We agree to provide Hikari Sales USA, Inc. with a monthly report of the sales of their items from each of our sites and a report of the total sales to each state they were sold in to. We agree to donate 1% of our monthly sales to Pets In The Classroom to reinvest in the pet industry, proof of which is required each month to maintain our approval if granted. We further understand failure to provide the reports and make the donation as described above will jeopardize our approved status. Finally, we understand that any approval is for our own use only and does not authorize us to sell any Hikari Sales USA, Inc. product to any other seller under any circumstances. required