TriMega Member Registration Form

Please take a few moments to complete the form below. This form will provide us with the information we need to begin setting up your account in our system. If you have any questions you wish to have answered, feel free to give us a call at (800) 759-3001 x 122 or send us an email at Required fields are marked with an *.

Please complete the required fields!

    Your Company Information

    Company Name *
    Address 2
    City, State, Zip , ,

    What is your TriMega Member ID?


    Are you already an Accutech reseller?

    Yes No   If yes, what is your account number?  

    Your Contact Information

    Contact Name *
    Email *
    Phone *

    What is the best way to reach you?


    What kinds of items are you interested in?

    Office Supplies
    Backup Tapes & Media
    Computer Accessories
    Print Supplies
    If other, please explain...

    Do you use any of these software platforms?

    Red Cheetah
    Channel Online
    If other, please explain...

    Would you like access to our B2B website?

    Yes No Maybe, tell me more!

    Please review Accutech's Reseller Terms & Conditions

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    Please initial that you have read our Reseller Terms & Conditions...