New Dealer Inquiries

We appreciate your interest in becoming a Battenfeld dealer. Please note this form is for US-based dealers only. Canadian dealers and international dealers should please visit our international section.

Your Name:

Business Name:

Address:

Suite, etc.:

City:

State:

ZIP:

Phone:

Fax:

Email:

web site:

Type of store:

We currently buy from the following distributor(s):

We are a member of the following buying group(s):

I am interested in the following brands / products:
Caldwell Tipton Wheeler Engineering Frankford Arsenal
PAST Fajen Miles Gilbert Adams & Bennett

Comments or additional information:

Please write the characters shown in the image above: