Thank you for your interest in Modform's Authorized Distributor program. As we develop our nationwide network, the Distributor's ability to function as a Channel Partner for us and our parent, the full-service manufacturer CMT,llc, will be a deciding factor. Our Vision Statement for our Distributor partners includes their ability to deliver quality, adhere to our principles of honesty and integrity and share in a vision of joint growth.

We expect a high quality Distributor like this will have equal requirements of us.

Please complete the form below, including the best time to reach out to you by telephone, and we will respond quickly.

Name

Title

Company

Telephone

Email

Website

Address

Address 2

City

State      Zip


Names of Fastener Companies Carried

Industries Served

Salesmen on staff

Annual Sales

Under 1M   1M - 5M   5M - 10M   10M+