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Computer Support Service Enquiry Form

Before lodging your enquiry, select a computer package that would best suit you. If you have any questions about the service, make sure you read our Frequently Asked Questions section.

 

To enquire about purchasing a computer (NSW residents only please), fill in the form below. Note that because of strong demand for this service, there is a substantial waiting period.

Applicant's Details

Name (Required)
Last name, first name
Company
Address 1 (Required)
Address 2
Suburb (Required) Post Code (Required)
Phone (Required) Fax
Alternate Phone Email
Disability (Required)
 
If you are not the applicant, please fill in your details below.

Referrer's Details

Name
Address 1
Address 2
Suburb Post Code
Phone Fax
Alternate Phone Email
Your relationship with the applicant:
Comments:

Please review the form before clicking Submit. If you want to start over, press the Clear Form button.
   

Privacy Statement:

TADNSW respects your privacy.  You personal information will be treated in accordance with the National Privacy Principles contained in the Privacy Act of 1998.  If you no longer want to receive further communications from TADNSW or would like a copy of our privacy policy, please email privacy@tadnsw.org.au or call (02) 9912 3400 or 1300 663 243 (calls outside of Sydney) and ask to speak to the Privacy Officer. You can also download a copy of our Privacy Policy through our website: http://www.tadnsw.org.au/privacy.php

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Last modified: January 13 2012.