AFA :: Dealer Application

Dealer Application

Only valid resellers are elligible to apply. Australian companies not supplying an ABN will not be processed. This application will allow access to the commercial areas of this website only. Dealership with AFA Interactive will only occur after the completion of the dealership application*.

To be sent an application, please check the "Please send me a Dealer Application Form" box below

A valid email address must be given for your password to be sent to you. If you cannot meet this requirement, please contact us for another arrangement.

*corporate identity and sales quantity criteria

Contact First Name:*
Last Name:*
Company:*
ABN / Business No.**
Phone Number:
Fax Number:
Email Address:*
	Company Address
Street Address Line 1:*
Street Address Line 2:
City:*
State/Province/District:
Zip or Postal Code:
	Postal / Delivery Address
	Same as Above
Street Address Line 1:*
Street Address Line 2:
City:*
State/Province/District:
Zip or Postal Code:
Security Code:*	tz2dqsp5
Type Security Code:*
Country:*
	Please send me a Dealer Application Form
* - required fields
** - required for Australian organisations

apply

Please fill in the form above and click the Submit button. Your login and password will be emailed to the account above. We may contact you to supply you preferred payment option. Please allow one working day for this application to be processed