New Dealer Application

Apply for New Magic Dealership

  • >
  • Dealer Application
  • Company Details
  • Dealership Name* :
  • ABN/NZBN/Business Number* :
  • Years in Business* :
  • No. of Staff* :
  • Company Address* :
  • Suburb/Town* :
  • State* :
  • Postcode* :
  • Country* :
  • Telephone* :
  • Website :
  • Contacts
  • Primary Sales Contact* :
  • Email Address* :
  • Mobile* :
  • Owner/Director/Proprietor* :
  • Owner/Director/Prop Email* :
  • Purchasing Officer :
  • Purchasing Officer Email :
  • Accounts Officer :
  • Accounts Officer Email :
  • Additional Director (1) :
  • Additional Director (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: