Applicant information Business name Physical address City Post code Type of business (select all that apply)Equipment SupplierManufacturerEquipment RentalAsset FinanceOther (please specify below) If you selected "Other" above, please specify Brand(s) represented (if applicable) Number of employees Contact Person (Primary) Name Position Phone Email Contact Person (Secondary/Admin) - optional Name Position Phone Email If you were referred by an existing NZESA member, please provide the name and company Type Of MembershipFull Membership ($3,686.78 +GST /year)Supplier/Partner Membership ($3,131.22 +GST /year) For new members who join during the year, subscriptions are adjusted pro-rata for the balance of the calendar year ending 31st December. Signing Your name Your email (please repeat even if you're the primary or secondary contact) By checking the box below, you confirm that you are authorised to submit this application on behalf of the business name stated in the application form above: Note: Membership of the NZESA is generally open to organizations involved in the supply of equipment to the contracting industry, subject to acceptance by the Executive Committee. Once your application has been received a member from the Executive Committee will be in contact. For further information please visit the Contact Us page.