Become a Dealer

Company Name*

Phone*

Fax

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Primary Contact

Name*

First Last

Title

Phone

Email*

Technical Contact

Name

First Last

Title

Phone

Email

Company Information

Years in Business

Sales People on Staff

Field Technicians on Staff

Annual Sales

<$250k
$250k to $500k
$500k to $1 Million
> $1 Million

How many accounts do you service on a regular basis?

Business Category

CNC Service Provider
Machine Dealer
CNC Machine Tool Parts Distributor
Machine Tool Sales
Shop Floor Productivity Solutions Provider
Job Shop
Contract Production Shop
Other

Previous Experience in Industry

What would you describe as your area of expertise?

Please describe the type of business you service:

Industries Serviced

Aerospace
Automotive
Blow Molding/Plastics Mfg.
Tool/Mold Makers
Fabrication
Job Shop
Other

What geographical area(s) do you service?

Please check all that apply:

We are willing to travel outside our service area
We can commit field technicians to projects of 1 week or longer
Our technicians have basic computer skills
Our technicians have basic networking skills

How did you hear about Memex?

Previous experience with Memex

Experience with competing products

Your other suppliers in the industry

Product lines that you are interested in

Memory Upgrades
DNC Software
DNC Hardware
Data Shuttles
BRUs
HMI Devices
Machine Monitoring
Other

CAPTCHA

*-Mandatory Fields

Primary Contact

Technical Contact

Company Information

About Memex

Quick Links

Contact Information