MODERN TECHNOLOGY NZ LTD

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Business Name: *
Trading as:
Years of Operation: *
Number of Owner/Staff: *
Business Type:	Sole TraderPartnershipLTD Company
Premises:	Retail ShopOffice with ShowroomHome based
Business Address: *
Zoning of Address:	CommercialIndustrialShoppingResidential
Postal Address:
Phone number:
Fax:
Company Website:
Contact Email: *
Contact Person: *
Years of PC Experience *
Main Product/Service Lines *
Major Customerbase	SOHO Schools Medium Corporates Government Vertical
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 *	By ticking the box you agree and represent that all Registration Information provided by you is accurate and up-to-date.
Terms & Conditions *	I agree to the Terms and Condition
Word Verification: *