Register

Individual

Branch*

Company Name

Industry Type

Work Phone Number

Postal Address*

Main Representative Member

First Name*

Last Name*

Job Position*

Mobile*

Email*

(to be use for member login and email notification)

* I hereby agree to the storage of my personal information by HKNZBA and that the HKNZBA can use my personal information for distributing the HKNZBA-related information and promotional offers by business services providers

PAYMENT METHOD

*Required Fields

PAYMENT SUMMARY
Individual Membership	NZD 200.00
Additional Fee	NZD x
Total	NZD 200.00

Required fields must be filled up.

MEMBERSHIP REGISTRATION

Individual

Main Representative Member

Credit Card Details