Dealer Application

Registered Name *

Trading Name *

NZBN *

Year Of Establishment *

Phone *

Website / URL *

Annual Turnover *

Number of Employees *

Sales Forecast 1 Month

Sales Forecast 3 Months

Sales Forecast 1st Year

CONTACT DETAILS

Name *

First

Last

Email *

Email to receive dealer communications *

SHIPPING DETAILS

Shipping Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Billing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Accounts Name *

First

Last

Accounts Email *

NATURE OF BUSINESS

What industry best describes your business?

Are you an installer?

What Areas Do You Service?

So we can provide you with sales and training information please select the products of interest below.

How did you hear about us?

Sales Representative

WEBSITE LOGIN

We will create a login to our website based off the information above. If an existing login already exists we will update that login.

Please enter a secure password below using a combination of UPPER and lower letters, Numbers and a Special Character.

Password *

Password

Confirm Password

TERMS & CONDITIONS OF SERVICE

Click here to read the Terms & Conditions of Service

Checkboxes

I agree to the Powertec Terms & Conditions of Service

Same Day
Shipping for
Online Orders
Before 1pm

CONTACT DETAILS

SHIPPING DETAILS

NATURE OF BUSINESS

WEBSITE LOGIN

TERMS & CONDITIONS OF SERVICE

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Direct

Cellular Repeaters

Modems & Routers

Wireless Networks

IoT Automation

Local Area Networking

Antennas

Cables

RF Components

Installation Hardware

Brands

Spark

One NZ

2Degrees

Cellular

WiFi

Case Studies

New Dealer Application

CONTACT DETAILS

SHIPPING DETAILS

NATURE OF BUSINESS

WEBSITE LOGIN

TERMS & CONDITIONS OF SERVICE

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