Suburb
State
Post Code
Phone Number
Fax Number
Mobile Number
Email Address
Web Address
Where does your business operate from?
What is your main Target Market?
Nature of Business
How many years has the business been in operation?
Average customers you will connect each month
How do you intend to promote Saco Technology?
Do you currently resell any internet and or communication services?
If so who?
Business Summary
Name of Bank
Account Name
I have read and understood Saco Technologys Agent Terms & Conditions found above and agree to abide by them. I understand that completion of this form doesn’t automatically mean that you will be accepted as a Saco Technology reseller as this is decided at the discretion of Saco Technology. I declare that the information provided in this agreement is accurate to the best of my knowledge.
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