New Customer Registration Form

New Customer Registration Form

To get more information about Prefixx Limited and our wholesale program, please fill out the form below, and we will endeavour to respond within 24 hours.
Customer Details:
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Company Name*
Trading Name*
The name on your shopfront or business
Address

Street Address

Country

CityState / Province / Region

Postal / Zip Code
Address Type
Business Type
Message to us:*
By clicking submit below, you agree to receive emails relating to Prefixx Limited updates and promotions.
Our operational address is:

Prefixx Limited

Bruce McLaren Road

Henderson, Auckland 0612

New Zealand

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