Dealer Application

To submit your application to become a Simple Pump Dealer, kindly fill out the form.
We do not accept phone requests.

Requirements for Dealers

  • Professional well and pump knowledge is required by you or other company employee(s).
  • Well drillers/installers, plumbers, or preparedness companies.
  • Retail level only. No wholesale distributors.
  • We recommend you don’t use Hotmail, msn, outlook, or live.com addresses. These domains sometimes have delivery problems.
  • A valid business license must be able to be verified to show that the business is legitimate.