|
*required
fields |
| *
Company/Organization Name |
|
| Address: |
|
| City: |
|
| State or
Province: |
|
| Zip or Postal
Code: |
|
| Country: |
|
| Phone
Number: |
Include country code, area/city code (as
needed). |
| Fax
Number: |
Include country code, area/ city code (as
needed). |
| *Contact Name: |
|
| *E-mail
Address: |
|
| Resale Number: |
(For
U.S. and Canada accounts) |
| Principle
Owner: |
|
| Where did you
hear about us? |
|
| * |
I have read and understand
the warranty
and RMA terms. |
| * |
I will fax a copy of a
voided company check (and if in
California, a copy of our resale
certificate and a completed resale
card) to (510) 249-1433. I understand that
my account cannot be activated until
MajorMemory.com receives all required
information. |
|
|
|
*required
fields |
