Fujitsu Computer Systems - Fujitsu Small & Medium Business Account Registration Form 10% OFF

Fujitsu Small & Medium Business Account Application Form

Thank you for your interest in becoming a Fujitsu Small and Medium Business customer.
The Benefits:

Convenient and secure 24x7 online ordering, order status, tracking and account management

SMB communications providing updates on new products, promotions, offers, price drops, and closeout deals

Configure-to-order program allows you to order the product configuration that meets your needs

Convenient payment options

Free service & technical support 24x7x365

To open an account, please fill out the application form below. Once finished, please click on the "Submit" button.

If you would like more information on the Fujitsu Small and Medium Business Program, please contact us at 1-800-FUJITSU.
Sign Up for the Fujitsu Small and Medium Business Program

Billing Information

Company (Legal) Name: *
Doing Business As (if any):

Address: *
City: *

State: *
Zip: *

Phone: *
Fax:

Contact Name : *
Title: *

Contact Email Address: *

Tax Exempt: *
Yes
If tax exempt, please forward a copy of the tax exempt certificate to (408)764-2753. If Reseller, please refer to the Reseller Program or call 1-800-831-3183.

No

Preferred Payment Option: *
Credit Card, Check, Wire Transfer, Money Order

Business Leasing

Fujitsu Net 30 Payment Terms
To open an account with payment terms, please be advised that we will require company financials and Fujitsu Credit Application. Account processing may take up to 5 business days.

Ship To Address

Same as billing

Company Name: *
Address: *

City: *
State: *

Zip: *
Phone: *

Contact Name: *

Company Information

Which best describes your company's business?

What are your yearly revenues?

What are your anticipated orders for the next year?

Number of employees

Would you like to receive product updates & special offer emails? *
Yes

How did you find out about the Fujitsu Small & Medium Business Program?
Yahoo
Google
MSN
Ask.com
Print Ad
Other

* Is a Required Field

Billing Information

Company (Legal) Name: *	Doing Business As (if any):
Address: *	City: *
State: *	Zip: *
Phone: *	Fax:
Contact Name : *	Title: *
Contact Email Address: *
Tax Exempt: * Yes If tax exempt, please forward a copy of the tax exempt certificate to (408)764-2753. If Reseller, please refer to the Reseller Program or call 1-800-831-3183. No
Preferred Payment Option: * Credit Card, Check, Wire Transfer, Money Order Business Leasing Fujitsu Net 30 Payment Terms To open an account with payment terms, please be advised that we will require company financials and Fujitsu Credit Application. Account processing may take up to 5 business days.
Ship To Address Same as billing
Company Name: *	Address: *
City: *	State: *
Zip: *	Phone: *
Contact Name: *
Company Information
Which best describes your company's business?
What are your yearly revenues?
What are your anticipated orders for the next year?
Number of employees
Would you like to receive product updates & special offer emails? * Yes
How did you find out about the Fujitsu Small & Medium Business Program? Yahoo Google MSN Ask.com Print Ad Other
* Is a Required Field