New Dealer Application

A New Magic representative will contact you to discuss or finalise your application. Pricing details and support materials will be provided to successful applicants. If you require more information please contact New Magic

• Company Details
• Dealership Name* :
• ABN* :
• Years in Business* :
• No of Staff* :
• Company Address* :
• Suburb/Town* :
• State* :
• Postcode* :
• Country* :
• Telephone* :
• Facsimile* :
• Website :
• Contacts
• Primary Sales Contact* :
• Email Address :
• Mobile :
• Owner/Director/Proprietor :
• Purchasing Officer :
• Purchasing Officer Email :
• Additional Contacts (1) :
• Additional Contacts (2) :
• Delivery Address (if different from above)
• Company Address :
• Suburb/Town :
• State :
• Postcode :
• Country :
• Trade References
• Company Name (01)* :
• Contact Name* :
• Telephone* :
• Email* :
• Company Name (02)* :
• Contact Name* :
• Telephone* :
• Email* :
• Type of Business
• System Integrator
• Retailer
• Corporate Reseller
• Government Supplier
• Education Supplier
• Online Reseller
• I confirm that products will only be purchased for resale
• Please list the types of customers you sell to:
  
• Products you are interested in selling
• Newtek LightWave
• Cubix
• Hauppauge
• Blackmagic Design
• Convergent Design
• Matrox Digital Video
• Telestream
• Other
• All Groups
• To Confirm you are a Person and not a Bot:
• What is the capital of NSW?* :