Dealer Application

Already a Dealer

We welcome dive shop partners to sell and distribute our lenses. If you are interested in ordering through a dive shop in your area, please contact us, and we will find one of our dealers to work with you. If you are a dive shop interested in partnering with us, please complete the short form below

"*" indicates required fields

Dive Shop/ Optical Shop name*

Number of Locations*

Years in Business*

Shipping Address*

Address Line 1 Address Line 2 City State ZIP Code

If you have multiple shipping locations, please let us know in the note space at the end of this form.

Image of your Storefront

Drop files here or

Max. file size: 50 MB, Max. files: 3.

Owner Name/ billing contact

First Last

Billing Email*

Phone*

Please provide the best phone number you would like us to use if there are any issues with orders.

We provide an electronic invoice upon receipt of diver mask. We require payment before we ship completed orders.*

I understand the payment policy.

Please let us know if there is anything we should know such as alternate contacts or shipping information.

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Phone

This field is for validation purposes and should be left unchanged.