Apply for a Maudlin Products distribution account today and qualify for account specific pricing, online promotions & coupons, flexible payment terms and an internal line of credit!

Become Our Distributor

	Company Name *
	Primary Contact *
	Billing Contact *
	Billing Address*
	Billing City *
	Billing State*
	Billing Zipcode*
	Phone *
	Fax
	Email *
	Website
	Company Type	-- please select --Stocking DistributorReseller
	Which of the following products are in your company's budget?
		Slotted Shims Coil Shim Stock Flat Shim Stock Foil Wrap Keystock & Feeler Gage  Threaded Rod & Drill Rod Tool Room Maintenance Kits
	What is your targeted budget for shim & alignment products for the fiscal year?
		-- please select --$1-$999$1,000-$9,999$10,000-$24,999$25,000+
	Would you like one of our representatives to contact you about establishing a Maudlin Products line of credit?
		-- please select --Yes, our company would like to qualify for a Maudlin Products line of creditNo, not at this time.
	Prefered method for contact
		-- please select --PhoneE-mail
	Please attach company credit information if available:
	Additional Comments