Dealer Application Form

Fill it in online here!

And start to attract more customers to your store immediately and increase your profits!

Complete Koi Food Range

Balanced Diet Koi Foods

Complete Aquarium
Fish Food Range

Tropical Fish Foods

Cichlid Fish Foods

Specialist Fish Foods

Marine Fish Foods

Goldfish Foods

Freeze Dried Foods

Please fill in this form as comprehensively as possible to save us all time!

The information submitted on this form will be treated in the strictest confidentiality and will never be shared with anyone else.

Company Name:
Trading Name:
Company Registration Number
Company VAT Number
Nature of Business
Invoice Address
Delivery Address
Shop Address (if different)

Contact Details
Primary Contact Person
Most convenient telephone number
e-Mail address

Accounts Contact Person
Most convenient telephone number
e-Mail address

Company Telephone Number
Company Fax Number
Company Directors
Company e-Mail address
Web site URL

Banking Details
Bankers
Branch
Branch Code
Bank A/C Number
Type of Account

Trade References
1. Company Name
Telephone Number
Fax Number

2. Company Name
Telephone Number
Fax Number

3. Company Name
Telephone Number
Fax Number

By submitting this form you as the applicant grant permission to Happy Koi (Pty) Ltd to make contact with any of the references provided in this application for credit facilities. Further the applicant grants permission for the references to supply to Happy Koi (Pty) Ltd the information requested. The applicant accepts that Happy Koi (Pty) Ltd will assess the creditworthiness of the applicant within the accepted practises of Happy Koi (Pty) Ltd the outcome of the assessment being at the sole discretion of Happy Koi (Pty) Ltd. The undersigned, who warrants that he/she is duly authorised by the Applicant accepts the standard terms and conditions of sale as attached. The undersigned further binds himself/herself as co-principal debtor jointly and severally. The undersigned certifies that the information contained in this Application for Credit is correct.

I agree to the terms and conditions of this form

(please tick this box).

About Hikari

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Pricing Information

Hikari Koi & Aquarium Fish Food Price List at a glance

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Koi Food Facts

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