Join Us | New Zealand Pacific Business Council

Membership Application Form
I/We hereby apply for membership of the New Zealand Pacific Business Council.
Company name / Individual member name*
Trading name (if different from above)
Office Phone*
Website
Postal Address*
Street Address Address Line 2 City Region Post Code Country

I / We nominate as our representative to the Council
Full Name*
First Last
Position*
DDI
Mobile*
Email*
Would you be interested in hosting an event?*
- Yes
- No
- More information required
Would you be interested in sponsorship?*
- Yes
- No
- More information required
Confirmation*
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 and an invoice being generated for membership upon submission of this form.
- Yes
- No
Membership subscription $300.00 inclusive GST per annum. Subscription year from 1st October – 30th September.
Name
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