Preferred Card Signup

Central Computers Preferred Membership Application Form
Name *

First Name Last Name
Company Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Email address *
example@example.com
Which Central Computers Store do you want to sign up with? *
General Terms:

1. Valid at all 5 Central Computers Stores (Sunnyvale, Santa Clara, San Francisco, San Mateo & Newark)

2. Not valid on purchases with any other coupon or special offer.

3. Only for individual customers. Not valid for resellers.

4. No adjustments to prior purchases.
Our Commitment to Privacy

At Central Computers, your privacy is important to us. We will not sell, share or distribute your personal information for use by any outside party. Your email address will not be used for any purpose other than to notify you about our special offers. If you wish to unsubscribe to our special offer notifications, you may request for removal anytime.

The right to terminate this program

Central Computers Inc. reserves the right to terminate this program anytime without prior notice to customer at any time.

I agree to the terms and regulations as stated above.
Signature *

Clear
Please verify that you are human *
Date *

Month Day Year
Date
Should be Empty: