Textiles NZ Members Application Form

The following application is to be used for Textile NZ members only.

Textile NZ member number:

Fill out the form below to calculate your annual membership fee. (yellow boxes are compulsory)
Date of Application
Number of Employees	Full/Part time staff member - including owners
Annual License Fee	$	X $10 per (With a minimum membership fee of $150.00 or a Maximum membership fee of $337.50).
Discount % (if applicable)	%
Discount Total	$ Textiles NZ members receive a 20% discount
Annual Fee	$	This will be your usual annual fee + GST
Months Remaining until July (including current)		Pro rata for number of months*
Total Annual Fee	$	This is your annual licence fee for your first part year

Registration Fee of	$
Sub Total	$
Plus GST	$
Total	$	This is what you should pay today

The amount shown in the Total Payable box covers your membership until July 1st

* Due to our licencing year running from 1 July to 30 June it is necessary for new members to pro rata their Annual licence to reflect this. i.e. if joining inApril you would calculate 3/12ths of the Annual Licence Fee plus your Registration Fee and GST to give you the total payable

You can now pay by credit card online at www.buynz.org.nz using "Bill Pay" please fill out the section below and submit this application before attempting to pay.

Cheques to be made out to: Buy New Zealand Made Campaign Ltd.

Direct Credit details can be obtained by filling in the boxes below:

Please send direct details to:

Name:
Email:

Buy NZ Made Campaign Ltd
PO Box 1925
Wellington

Join Us

For your membership to be actioned please provide the following contact information. We will invoice you for your payment once wehave recieved your application

Registered Business Name:
Trading Name (if different to above):
Contact Name:
Postal Address:
Street Address:
City

Email:
Web Address:
Phone Number:
Fax Number:
Mobile Number

Email Declaration: I agree that Buy New Zealand Made can send me updates, information and offers by email I do not agree that Buy New Zealand Made can send me updates, information and offers by email

Thank you - Just one more section to complete, After which you can submit this form by email or print and fax to 04 496 6550

or post to:

Buy New Zealand Made Campaign Limited
P.O. Box 1925
Wellington

Once we have received your application, we will send you an invoice.When we have received payment

We will send you your members pack.
You wll be able to order stationary such as stickers and swingtags
You can request a digital copy of the Buy New Zealand Made artwork

Enter your products

Please enter your products in the fields below:

Enter a general product name in the product field (i.e. Outdoor Tables or Merino Tops)
Select one category in consumer or/and the industrial drop down fields that your product best fits. These categorys are generalised.
You can add, edit or delete products later by filling in the Product Maintenance Form

Product	Consumer Category (Pick a Category)	Industrial Category (Pick a Category)

Declaration:
I hereby certify that the contents of this application are a true and correct and our products meet the requirements of the Fair Trading Act.

Full Name:

Please check your email