Batmax Distribution Request Form

Be part of our growing BatMax distributors network.
If you are a distributor, importer, wholesaler, trading company, agent, department store, retail store or manufacturer and you are interested to distribute or resell BatMax, please, fill this form, click on the “send” button and we will contact you as soon as possible.
We are looking forward to do business with you.
Thank you for your interest in BatMax.

First Name * Last Name *
Company * Occupation / Title *
Street * Apt / Suite
Zip Code * City *
State *    
Country * I wish to receive info / Price list
Phone * I wish to be contacted by phone
Fax Questions
Comments
Suggestions
Email * (Required)
Type of Business *
>>>>>>>>>
BatMax does and will not ever sell, trade or rent your personal information to others (see Privacy Page)