MaxSil BMW Pistons

Thank you for your interest in the Maxsil™ Wholesale Distributor Program. The 35% WD Discount Program is for warehouse distributors and volume resellers. The program requires a $5,000 initial buy-in, and quarterly repurchase committments. Please complete the application below. Your WD application will be reviewed and a representative will contact you within 4 hours. Please check the email address you submitted for our response.

Name:

Company Name:

Email:

Phone:

Mobile Phone:

Fax:

Address:

City:

State: Zip:

Country:

Shipping address is the same as above yes no (if yes skip grey saction)

Shipping Address:

City:

State: Zip:

Country:

Annual Gross Revenue?

Estimated number of BMW pistons sold in the last 12 months?

Estimated number of MaxSil™ Pistons will you sell in the next 12 months?

Initial minimum stock quantity of each part number (requested initial buy-in quantity)?