New Customer Information

New Customer Details

Hi! Thank you for contacting On2it Electronics Ltd. We hope to be of service to you in the near future. In the meantime, we ask that you provide your contact details so we can get you all set up in our system and get off to a good start!
Contact Name*

First NameLast Name
Trading as
Company/Business Name
Business Structure*

Sole TraderLimited CompanyPartnershipTrustOther
NZBN:
GST #
if GST registered
Email*
example@example.com
Website
www.example.com
Mobile Number*

Area CodePhone Number
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address (if different to above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Director 1:
Director 2:
How did you hear about us?*

FacebookWebsiteGoogle searchRecommendationAdvertOther
Who recommended us? We would like to say thanks!
Preferred method of payment:*

Bank transferCashOnline payments
Would you like to apply for a credit account, allowing payment on the 20th of the month following?*

Yes (Please provide trade references)No, I'm happy with the standard 7-day invoicing systemOther
Trade reference #1 (excluding phone, power or fuel companies)
Trade reference #2 (excluding phone, power or fuel companies)
I agree that the information provided on this form is as *

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Enter the message as it's shown*
Thank you for choosing On2it Electronics Ltd. If you have any questions or would like to get in touch about a job you need doing, feel free to call us on 027 254 3914 or flick us an email at admin@on2itelectronics.co.nz.
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New Customer Details