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Membership Application
Company Details
Trading Name
*
Registered Name
*
Trading Name is a required field.
Company Name is a required field.
Postal Address
Address 1
*
Address 2
Address 1 is a required field.
Suburb
*
City
*
Suburb is a required field.
City is a required field.
Postcode
*
Find your postcode
Country
*
Postcode is a required field.
AUSTRALIA
CHINA
COOK ISLANDS
FIJI
FRENCH POLYNESIA
GHANA
HONG KONG
INDIA
INDONESIA
MALAYSIA
NEW ZEALAND
Palestine
PHILIPPINES
RAROTONGA
SAMOA
SINGAPORE
SWITZERLAND
THAILAND
UNITED KINGDOM
UNITED STATES
VANUATU
VIETNAM
Country is a required field.
Is this the same as your Street Address?
Yes
No
Phone
*
Website Address
Phone number is a required field.
Subscription Information
Membership Options
*
2 Years Sleep Easy Membership (15% discount to the annual subscription)
1 Year Sleep Easy Membership
Please select the Membership Option to proceed with Subs fee calculation.
Full/Part Time Equivalent Staff
*
Annual Payroll
*
Please specify number of employees.
Whoops - the no. of Employees figure entered is not valid. Please use numbers only.
Please specify gross wages.
Whoops - the payroll figure entered is not valid. Please use numbers only.
Company Activities
Primary Business Activity
*
Accommodation and Food Services
Administrative and Support Services
Agriculture, Forestry and Fishing
Arts and Recreation Services
Construction
Education and Training
Electricity, Gas, Water and Waste Services
Financial and Insurance Services
Health Care and Social Assistance
Information Media and Telecommunications
Manufacturing
Mining
Other Services
Professional, Scientific and Technical Services
Public Administration and Safety
Rental, Hiring and Real Estate Services
Retail Trade
Transport, Postal and Warehousing
Wholesale Trade
Business Activity is a required field.
Are you currently an exporter or
is likely to export in the next 12 months?
*
Yes
No
Please specify if your company exports.
Primary/Key Contact
The person delegated to receive EMA communications
Title
Dr.
Hon.
Lady
Miss
Mr.
Mrs.
Ms.
Prof.
Sir
First Name
*
Last Name
*
First Name is a required field.
Last Name is a required field.
Email
*
Email is a required field.
Please enter a valid email address.
Job Title
Accounts
Accounts Manager
Administration
Administration Manager
Associate
Bursar
Chief Executive Officer
Chief Finance/Accountant
Consultant
Credit Control
Customer Services
Director
Driver
Finance
Financial Director
General Manager
Health & Safety Officer
Human Resources
IT
Lawyer/Barrister/Solicitor
Manager
Manager of Finance
Manager of HR
Managing Director
Operations
Orthodontist
Partner
Payroll & Salaries
Personal Assistant
Production
Quality Control
Receptionist
Regional Manager
Sales & Marketing
Secretary
Senior Manager
Supervisor
Systems Compliance & Internal Auditor
Team Leader
Trustee
Worker
Other
Business Phone
*
Mobile Number
Supply at least one telephone number.
Are you the person delegated to receive billing/invoice details?
Yes
No
Would you like to add other Contacts now?
Yes
No
How did you hear about us?
Google
Member Referral
Previous Member
Radio (advertising)
Social Media
Word of Mouth
Reason for Joining
Advice: Legal and Consultancy (including OHS)
Conferences and Seminars
HR Support: Adviceline and Website
Policy and Legislation
Training Courses and Workshops (including Export NZ)