Thank you for your interest in becoming a RotoKAP Dealer!

Please fill out the form below to start your application process.

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page ( Important: Delete this tip before you publish the form.

Contact Information

Contact Name(Required)
Your Address(Required)
Do you sell online? *
Do you have a social media presence?(Required)
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    To finish your application, you will need to complete the following forms (as applicable)*:

    *If you are unable to attach these forms, please email completed forms to: