Email *

Email (Confirm) *

Company Name *

Last Name *

First Name *

City *

Zipcode *

Country *
—Please choose an option—AustrariaNew ZealandFijiKiribatiMarshall IslandsMicronesiaNauruPalauPapua New GuineaSamoaSolomon IslandsTongaTuvaluVanuatu

State *
[text* your-state class:form-control"]

Tool Model *
—Please choose an option—SN883RH3SN890CH3/34SN883CH2/28CN890F2CN445R3CN565S3CN665DCN550SNF665A/15NF565A/16NF235F/18NF255FA/18NF235A/23-35TA238B/18-6TA551B/16-11TA116A/22-9TA116A/21-13CN50CN70CN80CN100AKHL1260EAKHL1260EXAKTH13HN120HN25CHN90FHN90HS130HN75HN65JHN65GS732CGS865EGS683RHGS683CH

Tool Serial Number *

What type of work do you do?
—Please choose an option—Residential BuildingCommercial ConstructionRemodeling / Home improvementConcrete / MasonryDrywall / Plaster InstallerFlooringCabinet / Furniture CarpentryRoofingSidingMetal / Wood FramingIndustrial ManufacturingGovernmentPre-cast Factory

Where did you purchase your tool?

Where did you find out about MAX?
—Please choose an option—Social MediaWebpagePrint MagazineTrade ShowDealer PromoWord of MouthWeb Search

Would you like to receive information on new products, promotional offers, and other news from MAX?
—Please choose an option—YesNo

* This does not include important messages from MAX related to safety or other information that may affect our customers.

Promo Code

If you have a Promo Code, please enter code here. If you are submitting any additional attachment files such as Invoice/pictures/others please send data to promo@www.max-ltd.com.au with promo code in the title. We only accept *.pdf/*.jpg/*.png format files. Please follow Promo instructions when submitting above information.