distributors – Sureset Medical Device

Become an Authorized Dealer. Tell us
more about your company.

Please provide all required details below to qualify your business with us. If your company qualifies to become a dealer, a MedicaMetrix representative will be in contact with you to discuss further opportunities. Thank you for your interest in SureSet Securement.

Business Name *

Contact Person *

First

Last

Contact Number *

Email *

Company Website *

Company Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Type of Business *

How long have you been in business? *

Please provide a short description about your company. *

Please list the products that you sell and companies you represent. *

Please describe your current interest level in becoming a SureSet distributor *

Looking to start selling in next 3 months
Looking to start in 6 months
Looking to start in 12 months
Currently just researching for dealer opportunities
Ready to buy today

Which cities/regions are you interested in? *

What is your annual sales volume (USD)? *

How many sales people do you have on your team? *

Do you have experience in securement and stabilization devices? *