Hikari Retailer Database Registration

Each of us at Hikari Sales USA, Inc. appreciates the support you give by choosing to offer your customers the Hikari, Bio-Pure, Aquarium Solutions, Pond Solutions, or Takara line of products. If you are a retailer or distributor of Hikari products, we welcome you to have your store listed on our Retailers page. To be added to our online retailer referral service, or to update your current information, please complete the information in the form below. Once again, you have our sincere thanks for offering your customers the best products available for their aquatic pets!

HIKARI RETAILER DATABASE REGISTRATION FORM

*(required)

Store Name *

E-Mail Address: *

STORE INFO

Address Line 1: *

Address Line 2:

City: *

State/Province/Region: *

Postal/Zip Code: *

Country: *

Owner: *

Manager: *

Assistant Manager:

Phone#: *

Fax#:

Website URL:

SUPPLIERS

Primary Supplier: *

Secondary Supplier:

Other Suppliers:

PRODUCTS CARRIED

What type of products do you sell? (check all that apply):
Freshwater Fish Products
Saltwater Fish Products
Reptile Products
Bird Products

What type of live animals do you sell? (check all that apply):
Freshwater Fish
Saltwater Fish
Reptiles
Birds

Store Area (sq.ft.): *

Live Aquatics Area (sq.ft.): *

Total number of Hikari® items currently in stock: *

HIKARI FISH DIETS

Which ®Hikari Goldfish Diets do you currently stock? (check all that apply):
®Hikari Goldfish Gold®
®Hikari Goldfish Staple™
®Hikari Lionhead
®Hikari Oranda Gold®
®Hikari Wheat-Germ
Saki-Hikari® Fancy Goldfish

Which ®Hikari Koi & Pond Diets do you currently stock? (check all that apply):
First Bites®
®Hikari Economy™
®Hikari Excel™
®Hikari Gold™
®Hikari Hi-Growth™
®Hikari Sinking Wheat-Germ
®Hikari Spirulina
®Hikari Staple™
®Hikari Wheat-Germ
Saki-Hikari® Color Enhancing Diet
Saki-Hikari® Growth Diet
Saki-Hikari® Multi-Season Diet

Which ®HIKARI CICHLID Diets do you currently stock? (check all that apply):
Cichlid Bio-Gold+®
Cichlid Excel®
Cichlid Gold®
Cichlid Gold® (Sinking)
Cichlid Staple™

Which ®HIKARI TROPICAL Diets do you currently stock? (check all that apply):
Algae Wafers™
Betta Bio-Gold®
Crab Cuisine®
Discus Bio-Gold®
Fancy Guppy®
First Bites®
Food Sticks™
Massivore Delite®
Micro Pellets®
Micro Wafers®
Shrimp Cuisine™
Sinking Carnivore Pellets®
Sinking Wafers®

Which ®HIKARI MARINE Diets do you currently stock? (check all that apply):
Marine-A-®
Marine-S-®

REPTILE DIETS

Which ®HIKARI REPTILE Diets do you currently stock? (check all that apply):
Crab Cuisine®
Turtle Sticks™

FROZEN/FREEZE-DRIED FOODS

Which ®Hikari BIO-PURE® Frozen Foods do you currently stock? (check all that apply):
BIO-PURE® Blood Worms
BIO-PURE® Brine Shrimp
BIO-PURE® Brine Shrimp (Baby)
BIO-PURE® Spirulina Brine Shrimp
BIO-PURE® Daphnia
BIO-PURE® Discus
BIO-PURE® Krill
BIO-PURE® Mega-Marine™
BIO-PURE® Mega-Marine™ Algae
BIO-PURE® Mega-Marine™ Angel
BIO-PURE® Mega-Tropical™
BIO-PURE® Mysis Shrimp
BIO-PURE® Mysis Shrimp (Jumbo)
BIO-PURE® Ocean Plankton
BIO-PURE® Rotifers
BIO-PURE® Silversides
BIO-PURE® Squid
BIO-PURE® Tubifex Worms
BIO-PURE® UVX™ Blood Worms
BIO-PURE® UVX™ Brine Shrimp

Which ®Hikari BIO-PURE® FD Freze Dried Foods do you currently stock? (check all that apply):
BIO-PURE® FD Blood Worms
BIO-PURE® FD Brine Shrimp
BIO-PURE® FD Daphnia
BIO-PURE® FD Krill
BIO-PURE® FD Ocean Plankton
BIO-PURE® FD Spirulina Brine Shrimp
BIO-PURE® FD Tubifex Worms

FLAKE DIETS

Which ®HikariFlake Diets do you currently stock? (check all that apply):
®HikariFlake GOLDFISH
®HikariFlake TROPICAL

WATER TREATMENT

Which Aquarium Solutions® or Pond Solutions® Brand Water Conditioners do you currently stock? (check all that apply):
Betta Ultimate®
ClorAm-X®
Stress-X®
Ultimate®

Which Water Treatments or Health Aids do you currently stock? (check all that apply):
Betta Revive™
Bio-Bandage®
BiFuran+™
CyroPro™
GermGone™
Ich-X®
Metro+™
PraziPro™

WATER FILTRATION SYSTEMS

Which Water Filter/Cleaners do you currently stock? (check all that apply):
Takara Water Cleaner TW-012
Takara Water Cleaner TW-022
Takara Water Cleaner TW-061
Takara Water Cleaner TW-081
Takara Water Cleaner TW-104

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Hikari Retailer Database Registration

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