Avnet Partner Application Form

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Page: Step 1 of 2  

The following details will allow us to setup your account promptly.

If a legal representative needs to review our terms and conditions, please click here for a soft copy of the application form.

If your organisation would like to discuss our terms and conditions, please call 1300 303 767

If you have more than one business entity then please fill out multiple forms or just list the details of the entity that will be primarily working with Avnet Technology Solutions.

You will be dealing with Partner Solutions, which is a division of Avnet Pacific Pty. Ltd. (ABN 18 003 085 050).
Avnet Pacific Pty Ltd is a subsidiary of Avnet, Inc. Phoenix AZ, U.S.A

 

First Name
Last Name
Job Title
Work Phone
Fax
Email
Are you the director of your organisation?
Would you like to set up access to Avnet’s Business Partner portal for your staff?
Please enter your organisation's primary Accounts or Accounts Payable contact.
First Name
Last Name
Job Title
Work Phone
Fax
Email
Primary email address for all invoices
Company Name
Company ABN Number
Street Address
Suburb
State
Post Code
Country
(if outside Australia)
Company Website
Please choose which type of trading account you would like with Avnet.


Please check below the vendors you intend to procure through Avnet.








Please read the following Terms and Conditions.

Do you, (a) agree to the above Terms and Conditions and
             (b) confirm you are an authorised representative of your organisation to submit an application to trade?

Signature:  _________________________

Date:        _________________________

Full Name: _________________________