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Application For Reseller
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Please enter the information in the fields below. Compucon New Zealand will not share the information with other parties and will use the information solely for communicating.

After you successfully submit the info to us, we will send a record to you for reference

Business Name: *
Trading as:
Years of Operation: *
Number of Owner/Staff: *

Business Type:

Business Address: *

Zoning of Address:

Postal Address:

Phone number:
Company Website:
Contact Email: *
Contact Person: *
Years of PC Experience *

Main Product/Service Lines *
Major Customerbase
Major Hardware of Interest *
Number of PC sold in last 12 months *
Current Major Supplier *

Please List three credit references: (Company name, Contact person and Phone No)

Reference 1

Reference 2

Reference 3

Registration Information *

Terms & Conditions *

Word Verification: *