Thank you for your interest in choosing Max Group as your source for product distribution.

If you would like Max Group to review your product(s) for distribution, please fill out the form below. Your submission will be sent directly to our Test Center who will contact you to discuss your products. Please send all your sample products to our Headquarter in Los Angeles, California.

∗  Required fields
1. Company Information
∗  Company Name   
Website   
∗  Primary Contact   
Telephone   
Extension
∗  Email   
Fax No.
Brand   
Category
Product Description   
∗  Price Range   
Manufacturing Place   
∗  Last Year's Revenues   
∗  Projected Revenues   
2. Brand Competitors  ∗
Our company's market share   
 % (market share)  ∗
% (market share)  ∗
% (market share)  ∗
% (market share)
3. Current Authorized Distributors  ∗
Bell Microproducts, Inc. SYNNEX Corporation Tech Data Corporation
Ingram Micro Inc. Others, please specify:  
4. Type of Customers  ∗
Corporate Retail Both
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