Customer Application Form – ESP OLD

Nombre de empresa:*

Naturaleza del Negocio:*

Nombre comercial:

*Completar solo si se aplica

Empresa principal:

*Completar solo si corresponde

Required*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Leave Blank if the visiting address is the same as the invoice address.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

*Completa solo si es diferente de la dirección de facturación Street Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Offer your legacy, depreciated hardware to the Flex IT Distribution IT Recovery program.