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Compucon Account Registration
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MODERN TECHNOLOGY NZ LTD

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.



Account Registration
Please fill in this form: Note: All fields required
Your E-mail Address:
Name of Company:
Company Website:
Type of Business:
Street Address:
Postal Address:
Company Phone Number:
Number of PC Seats in Company:
Number of Servers in Company: />
Your Full Name:
Your role in the Company:
Your Contact Phone Number:
Do you have Purchase Authority?
Do you have Payment Authority?
If you have neither Purchase nor Payment Authority, please provide details of the person who has:

Personal Name:
Role of Person in Company:
E-Mail Address of Person:
Contact Phone Number:
Word Verification:
Terms & Conditions *