Retail Associates

**Retail Associates Only** To receive your complimentary liter of Fish Sh!t as well as other items we will send out to you in the future, the following information must be completed.

Name

First

Last

T-Shirt Size

Store Name where you currently work

Store Address Street

Store Address City

Store Address State

Store Address Zip

Do you currently use, or have you previously used Fish Sh!t on your plants?

If you have experience with Fish Sh!t, please rate your experience with the product:

If you have experience with Fish Sh!t and have seen good results, will you recommend it to your customers:

Have you used other beneficial bacteria/root stimulation products on your plants? Please check all that apply

If you are human, leave this field blank.