Become a Distributor

Boost your sales by becoming a distributor of the Metalith H2O. Please fill out this short form and submit it. You will be contacted by one of our Sales Managers in 2-3 business days.

Please fill out the distributor form below: (Bold items are required)
  First Name:
  Last Name:
  Business Name:
  Street Address:
  City:
  State:
  Country:
  Zip Code:
   E-mail:
  Phone Number: ( ) - -  Ext:
  Please briefly list the product lines or services that you sell or provide to the industry:
  Business Description: