Become a Wholesale Customer

For further information regarding wholesale opportunities for your business, complete the questionairre below and one of our M2 Wholesale account managers will contact you.

Disclaimer

By submitting this form to M2 Wholesale, you acknowledge and agree that M2 Wholesale may disclose the information contained in this form to any of the M2 Telecommunications Group of companies or to any channel partners of the M2 Telecommunications Group of companies.

M2 Wholesale will take all reasonable measures to preserve the confidentiality of the contained information and cannot accept any responsibility for any claim, loss or damage suffered as a result of any such disclosure.

M2 will only use your information for the express purpose contained in this form. For more information please refer to our privacy policy for further information.

M2 Wholesale incorporates minimum spend and security criteria in assessing new customers.
This will be discussed when we call you.

Note: Fields marked with an * are mandatory fields.

 

Company Name: *


Company ABN:

Company Address: *

Company website:

Is the company ASX listed?
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Is the company ASX listed?
ASX Code:
Contact name: *
Contact title: *
Contact Details: *
(Please provide at least one phone no. and an email address)
Telephone number:
Mobile number:
Email address:
Time in business:
Years: Months:
Type of business: *
(Select from the list what best describes your business.)

 

 Your customers profile?: *(Tick all that apply)

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Your customer base: *
Your services:
Your path to market:(Tick all that apply)

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If other, please describe:

Other information:



  (Click for confirmation page)