Organisation Name (required)
ABN Number (required)
Your Ref. (Name or Number) (required)
Type of Organisation:
Contact Name (required)
Contact Email (required)
Please indicate the quantity of standard build computers with Microsoft software that you are interested in:
Please outline the purpose for which these computers will be required :-
My OrganisationOur Client
Street Address 1
Street Address 2
Who will collect the computer?
Organisation's RepresentativeOur Client
PLEASE NOTE: If a separate invoice is required in each client's name then a separate application for each client will need to be submitted and the Invoice To fields completed. If not, a single invoice will be issued to the organisation and all components on the order will need to be collected at the same time.