NZPBC Membership Form2 Membership Application Form: I/We hereby apply for membership of The New Zealand Papua New Guinea Business Council. Company name (*) Invalid Input Trading name (if different from above) Invalid Input Office Phone (*) Please enter your Office Phone Website Invalid Input Postal Address (*) Invalid Input Suburb Invalid Input Post Code (*) Invalid Input City (*) Invalid Input Nature of Business (*) ManufacturingImportExportBuilding / ConstructionHeavy EngineeringEducationGovernmentServicesTransport / LogisticsFood and BeverageOtherInvalid Input If Other please enter Invalid Input I / We nominate as our representative to the Council Full Name (*) Please Enter your Full Name Position (*) Please Enter your Company Position DDI Invalid Input Mobile (*) Please Enter you Mobile Number Email (*) Please Enter a Valid Email Address I/We consent to the details and names in this form being used in The New Zealand Papua New Guinea Business Council (including directories) and receiving information from the New Zealand Papua New Guinea Business Council. Confirm (*) YesNoInvalid Input Membership subscription Subscription year from 1st April – March 31st