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APC Australia RBC Registration Form
Page 1 - Please complete all sections of this form marked with a red asterix
*
CUSTOMER DETAILS
Company Name:
First Name:
*
Last Name:
*
Pickup Address:
*
Suburb/City:
*
State:
*
Select:
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode:
*
Address Type:
*
Select:
Private
Business
Contact Phone:
*
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Example: +612 - 55558888 or 0411 - 000000
Email Address:
*
Confirm Email Address:
*
NOTE: Pickup of the unit/s will be between 8.30am and 5pm. If the pickup address is closed within these times please indicate as required in the Special Instructions field.
Special Instructions:
How did you hear about the RBC program?
*
Please Select:
Reseller
Advertisement
Word of Mouth
APC Promotion
APC Newsletter - Uptime
APC Newsletter - Reseller News
APC Newsletter - Other
Other
If "Other" please state:
I wish to receive information regarding APC products, promotions and news.
Terms and Conditions
Select a RBC for your UPS
Find your Product Serial Number
Got a Question? Ask us.