Hardware Request Form

Hardware Request Form

Register your interest today and receive preferred customer status for any computers that may be made available.

Please complete the Hardware Request From to record your interest in acquiring computer hardware from Gibson Distribution. On receiving your request it will be lodged with our sales department and matched against any available computer hardware over the next two weeks. Due to the demand for equipment, we recommend that you bookmark the site and re-apply on a periodic basis to ensure that your request remains toward the top of the request register.

We look forward to reviewing your request and working together in the near future.

Name*

Title

Organization

Address 1

Address 2

State/Province

Country

Zip Code

Time Zone

Work Phone

Fax

E-mail*

URL

Details of proposed Trade / Barter Exchange

Name of Trade / Barter Exchange

Account Number

Trade /Barter Exchange Address

Address 2

State/Province

Country

Zip Code

Time Zone

Work Phone

Fax

E-mail*

Please enter details on the computer hardware that you wish to acquire. Please include general specifications, general working condition and proposed price and currency:

Please enter any additional comments or instructions.

Copyright of Enterprise IT-Online 2002. All rights Reserved. www.eitol.net P O Box 228 Clifton Beach, Qld 4879 Australia. Phone: (61 7) 40415421, Fax:+(61 7) 40415693. e-mail sales@eitol.net. Information in this document is subject to change without notice. Other products and companies referred to herein are trademarks or registered trademarks of their respective companies or mark holders.

Organization
Address 1
Address 2
State/Province
Country
Zip Code
Time Zone
Work Phone
Fax

Name of Trade / Barter Exchange
Account Number
Trade /Barter Exchange Address
Address 2
State/Province
Country
Zip Code
Time Zone
Work Phone
Fax
E-mail*