New Zealand Defence Industry Association (NZDIA) Membership Application

Organisation Name *

Trading or Brand Name *

Organisation Address 1 *

Organisation Address 2

Organisation Website

Postal Code *

City *

NZ Region *

Country *

Are you a global organisation? *

Does your Organisation qualify as Māori owned? (At least 51 per cent of wages paid to directors, partners or active shareholders was to people of Māori ethnicity or descent.) *

Primary Contact First Name *

Primary Contact Last Name *

Primary Contact Phone Number (include country code) *

Primary Contact Email Address (can't be a generic email account e.g. accounts@) *

Secondary Contact First Name *

Secondary Contact Last Name *

Secondary Contact Phone Number (include country code) *

Secondary Contact Email Address *

GST Number (if registered for GST in New Zealand)

Purchase Order Number (if available, if not NZDIA accounts will be in touch)

Description of your Organisation (40 words or less for use on the NZDIA Member Directory) *

Current Annual Turnover (NZD)? *

Annual Defence, National Security Export & Domestic business in NZ$ (if any)?

Value of annual export business in NZ$ (if any)?

Number of employees worldwide? *

Corporate Membership (NZ & International Businesses)

Up to 50 Employees worldwide = NZ$1800 + GST per annum

More than 50 Employees worldwide = NZ$3000 + GST per annum

Associate Membership (NZ & International Non-commercial organisations)

Up to 50 employees worldwide = NZ$1200 + GST per annum

More than 50 employees worldwide = NZ$2500 + GST per annum

What can NZDIA do to help you in the first three months? *

Preferred way to contact *

Phone

Email

Any

*

Please check this box to confirm that you are happy for us to share your contact information with NZDF and MoD and other Govenment Agencies in order to help better connect you with individuals at those agencies.

Sign here to confirm that you read and agree to the terms and conditions. *

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Terms and Conditions

You consent to receive communications from us electronically. We will communicate with you by e-mail or phone. You agree that all agreements, notices, disclosures and other communications that we provide to you electronically satisfy any legal requirement that such communications be in writing.

Thank you for submitting your application, the NZDIA Board will review it and notify you of their decision.

Kind regards,

Ian Harman

CEO

NZDIA