Dealership Application Form

On Line Market Dealer Members Application

Conditions of Buying At Dealer Prices:

Min. order total amount over $500.00
Already running a computer related business and DO NOT NEED ANY TECHNICAL SUPPORT.
We will not sell Sales Tax Exempted Goods since we have not received an Accreditation number yet.

NOTE: all fields are compulsory, Please use ONLY Australian Email addresses.
There will be no reply if you not complete this form correctly.

** Your must register to our site before you fill this dealer application form **

Registered Login Name
Not registed yet? Please click here to register.
Bus. Name
Bus. Address
Suburb
State
Post Code
Phone No.
Mobile No.
Fax No.
Web Page (if any)
Email Address
Bus. Start Date
A.B.N/B.R.N No.
Major Customers
Major Products
Major Suppliers
Monthly Turn Over
Your Full Name
Your Position
Employees At Your Works
How did You find Us?
Comment
Checked Email Add.