Dealer Application

Fill out the form below to get started in our dealer application process. If you need help or you're not comfortable filling out the form, please call our Outreach Support Coordinator, Heather Brant (816) 344-5769.

Business Name
Primary Contact Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Brands interested in carrying. (Check all that apply)*
- VitaFerm (Cow/Calf)
- Sure Champ (Show Livestock)
- DuraFerm (Sheep & Goats)
- Vita Charge (All Species)
- Vitalize (Horse and Dog)
What best describes you?*
- An established feed store looking to add BioZyme products to my product offering.
- Starting a new feed store and want BioZyme to be part of my initial product offering.
- A producer that wants to use the product for myself and sell to other producers in the area.
- A producer that wants to buy in bulk to use products for myself.
Where did you hear about Biozyme products?*
- Facebook Ad
- BioZyme Products Facebook Pages
- Websites
- Word of Mouth
- TV
- Radio
- Event
- Other
Other
Tell us about your experience with our products or why you're interested in carrying our products.*
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Contact

6010 Stockyards Expressway
St. Joseph, Missouri 64504

Contact Us by Phone
816-238-3326

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