Wholesale / Distributor Application

Please use the form below to request a Wholesale / Distributor account.

We may require additional information to complete you application so please provide a valid email address and phone number.

We generally complete the application process in 1-2 business days, whereupon you will receive account access credentials via email.

Application Form

[contact-form to=’SmartGrassCA@gmail.com’ subject=’Smartgrass Wholesale / Distributor Application’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Company Name’ type=’text’ required=’1’/][contact-field label=’Phone’ type=’text’ required=’1’/][contact-field label=’Account Type’ type=’select’ options=’Retail Account,Wholesale Account,Distributor Account’/][contact-field label=’Street Address’ type=’text’ required=’1’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Zip’ type=’text’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]

SmartGrass, LLC 3857 Birch street Suite 203, Newport Beach, CA 92660

Toll-Free Outside CA – 844-H2O-SAVE (844-426-7283 ) 310-678-7467 (In California)