If you are interested in selling ROOTSTIX products, please fill out the form below.
Business Name *
Owner’s Name *
Buyer’s Name *
Address *
City *
State *
Zip Code *
Phone *
E-Mail *
Years in Business *
Number of Employees *
Number of Locations *
Tax ID *
Resale License *
Please tell us about your business and the product lines that you carry. *
How would you like to be listed on our retailers list? *
0 + 1 = ? Please prove that you are human by solving the equation *
