Membership Application

Company Details
Trading Name *
Company Name *


Phone *
Fax


Website Address


Subscription Information
Full/Part Time Equivalent Staff *
Annual Payroll *
Our regional membership covers Northland, Auckland, Waikato & Bay of Plenty.
For an additional cost of NZ$1200 + GST your business can benefit from nationwide support
through the BusinessNZ network and our sister organisations.more info
Does your business require nationwide support? *

Company Activities
Is your company Manufacturing in New Zealand? *
Does your business import to New Zealand? *
Does your business export from New Zealand? *

Primary Business Activity *
Postal Address
Address 1 *
Address 2
Suburb *
City *
Postcode * SearchFind your postcode
Country *
 
Is this the same as your Street Address?
Primary/Key Contact
The person delegated to receive EMA communications
Title
First Name *
Last Name *
Email *
Job Title
Business Phone *
Mobile Number
Are you person delegated to receive billing/invoice details?

Would you like to add other Contacts now?