Customer Details Reseller

Customer Details (Reseller)

Fields marked * are required

Reseller

Please provide full hardware order details - either separately via email/phone, or using the Additional Notes field at the bottom of this form.

Customer

Find your NZBN number - Enter "NA" if non-NZ company

Physical Address

Billing Address

First Contact Person

Second Contact Person

Council Data

Please complete this section if you require data to be submitted to a Regional Council.

I give permission to export the data required for consent purposes to the council specified below.

Additional Info

All Harvest Systems are covered by our Harvest Alarms Indemnity Agreement and Harvest Electronics Warranty Terms, which can be found at: harvest.com/support/downloads