Become a Member

Become a Member

Thank you for your interest in partnering with SYNAXON UK. Please complete the following application form with as much information as possible and our admin team will contact you within the next few days.

Business Name*
Trading Name
Address Line 1*
Address Line 2
Address Line 3
Town*
County*	-- Please Select -- Other/Outside UK Aberdeenshire Angus Antrim Argyll & Bute Armagh Avon Bedfordshire Berkshire Blaenau Gwent Borders Bridgend Bristol Buckinghamshire Caerphilly Cambridgeshire Cardiff Carmarthenshire Ceredigion Channel Islands Cheshire Clackmannanshire Conway Cornwall and the Isles of Scilly County Durham Cumbria Denbighshire Derbyshire Devon Dorset Down Dumfries & Galloway East Ayrshire East Dunbartonshire East Lothian East Renfrewshire East Riding East Sussex Edinburgh Essex Falkirk Fermanagh Fife Flintshire Glasgow Gloucestershire Greater Manchester Gywnedd Hampshire Herefordshire Hertfordshire Highlands Inverclyde Isle of Anglesey Isle of Man Isle of Wight Kent Lancashire Leicestershire Lincolnshire London Londonderry Merseyside Merthyr Tydfil Midlothian Monmouthshire Moray Neath Port Talbot Newport Norfolk North Ayrshire North Lanarkshire North Yorkshire Northamptonshire Northumberland Nottinghamshire Orkney Islands Oxfordshire Pembrokeshire Perth & Kinross Powys Renfrewshire Rhondda Cynon Taff Rutland Shetland Islands Shropshire Somerset South Ayrshire South Lanarkshire South Yorkshire Staffordshire Stirling Suffolk Surrey Swansea Torfaen Tyne & Wear Tyrone Vale of Glamorgan Warwickshire West Dunbartonshire West Lothian West Midlands West Sussex West Yorkshire Western Isles Wiltshire Worcestershire Wrexham
Post Code*
First Name*
Surname*
Email*
Company Registration Number
Contact Number (landline)*
Contact Number (mobile)
Fax Number
Website Address
Turnover (last years figures)*
	If left blank we will assume less than £250k PA
Number of locations	0 1 2 3 4 5 6 7 8 9 10+
Number of employees
Where did you hear about us?*	[Please Choose] Mac Technology Association Technology Channels Asscociation PC Retail Website Channel Pro Website Dealer Support Website Referral Search Engine Other
Other - please state
	What services do you offer?
What services do you offer?	Repairs and upgrades Hardware installation Software Installation Network setups (including wireless) Protection & security Voice over IP Home entertainment setup Back up and data recovery
	Main Business Channel
Main Business Channel	Consultant Data Specialist IT High Street Retailer IT Reseller Office Equipment Reseller Service Company Voice Specialist Web based Sales Company
	Which of these are your core products
What are your Main Core Products	Notebooks & PC's Servers Computer Peripherals Printers EOS, Ink / Toner Office Supplies Consumer Electronics / Home entertainment Software Networking / Storage Components
Your message
Security Code*