Register to Become a TechnoTan Outlet

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Account Details
Please fill in your account details below
Email*
Please enter your account's email. The email must be unique and not already be associated with an existing account.
Enter Email Confirm Email
Username
Please enter your username. The username must consist of between 4 and 20 alphanumeric characters, be unique, and not already be associated with an existing account.
Password*
Enter Password Confirm Password

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Account Type*
What type of account would you like to apply for

A retail account allows you to instantly purchase retail items for personal use.

A wholesale account allows you to purchase trade items such as solution and equipment for business use; and retail items at trade prices. Please allow up to two working days for your account to be approved.
- Retail
- Wholesale

Contact Information
Please tell us a bit about yourself
Please tell us a bit about yourself and your business
Name*
First Last
Preferred Contact Method*
Which method would you prefer for us to use to get in contact you? By Supplying your telephone number we can serve you better!
- Mobile
- Telephone
Mobile Phone*
Telephone*
Address*
Please enter the address associated with this account (The address associated with your business if you intend on creating a wholesale account)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Country
Website
Business Information
Registered Business Name
Australian Business Number
Business Type*
Which of the following options best describes your business?
- Mobile Operator
- Health Club (Gym, Spa etc.)
- Beauty Salon
- Home Studio

Account Details