Distributor Inquiries

Thank you for your interest in becoming an MTC Bio, Inc. distributor. MTC Bio seeks distribution partners who are interested in actively promoting our product line. Please fill out the distribution questionnaire below. our Management team will review your application and reply promptly.

* Denotes Required Field

*Company Name
*Contact Person
Title
*E-mail address
*Address

*City
*State
*Postal/Zip Code
*Phone
Fax
Website URL
*Types of laboratories served.
*Geographic Coverage (Region, State, Country, etc.)
*Other suppliers' products you carry.
*Products you are interested in representing.
*Expected annual sales of MTC Bio products. $