The BigPond Dealer Application

Applicant Details


Before starting the application, ensure the applicant has read the BigPond Dealer Agreement here

ABN: * Company Name:
Trading Name: * Years in Business: *
I am a Telstra Dealer:

(If yes) What products / services does the applicant promote on behalf of Telstra?

Was the applicant previously a Telstra Dealer? (Y/N)

(If yes) What products / services did you promote on behalf of Telstra?

What was the reason for the relationship ending?

I am an ICT Channel Partner
What type of organisation are you?
What does this mean?

What is the applicant annual revenue?  



Key Business Contacts

Name Email Phone
Principal *
Sales Manager/Lead
Marketing Manager/Lead
Services Manager/Lead
Other

Geographical Coverage and Contact Details


Business Address * Business Suburb *
Business Postcode * State *
Postal Address * Same as business
Postal Address * Postal Suburb *
Postal Postcode * State *
Fax

Overall Company Industry & Segment Focus Area


Segment Focus Area




Total sales employees in the company


Total Sales & Technical employees in company Total technical employees in the company