Registration

Membership Application Form:

I/We hereby apply for membership of the New Zealand Pacific Business Council.

NZPBC Membership Form2
Company name / Individual member name (*)
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Trading name (if different from above)
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Office Phone (*)
Please enter your Office Phone
Website
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Postal Address (*)
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Suburb
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Post Code (*)
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City (*)
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Nature of Business (*)
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If Other please enter
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Pacific countries of interest:
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I / We nominate as our representative to the Council
Full Name (*)
Please Enter your Full Name
Position (*)
Please Enter your Company Position
DDI
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Mobile (*)
Please Enter you Mobile Number
Email (*)
Please Enter a Valid Email Address
Would you be interested in hosting an event? (*)
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Would you be interested in Sponsorship? (*)
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I/We consent to the details and names in this form being used in NZ Pacific Business Council publications (including directories) and receiving information from the NZ Pacific Business Council.
Confirm (*)
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Membership subscription
Subscription year from 1st October – 30th September