Corporate Membership

NZBA Corporate Membership Application Form

Company Information

* Company Legal Name

* Trading Name

* Company Registration Number

* NZBN

* GST Number

* Date of Incorporation

* Company Structure

* Registered Office Address

Business Address (if different)

Director/Authorised Representative

* Director Name

* Position

* Mobile

* Email

* Password

Strength: Very Weak

* Confirm Password

Authorised Contact Person

Position

Mobile

Business Profile

* Years in Operation

* Number of Employees:

Licences & Compliance

* Does the company employ LBP holders?

Yes

* Public Liability Insurance?

Yes

* Statutory Liability Insurance?

Yes

Health & Safety Policy in place?

Yes

Declaration

We declare that the information provided above is true and correct. We agree to comply with NZBA Membership Terms & Conditions

* Signature

Drop file here or click to select.

* Name

* Date

Selected plan

NEW ZEALAND BUILDERS ASSOCIATION

NEW ZEALAND BUILDERS ASSOCIATION

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