Procedure: This form is used to apply for an account.
When your details are input a security code will be emailed
which you can use to confirm your application.
Account identifier preference:
On systems using initials, short nicknames or handles
for account identifiers you may suggest preferred account name.
We suggest you provide a few options with spaces between words, in
case one or some of these are already used. Please keep your
preferences short and easy to remember.
Details marked * are required.
Enter your email address. *
Name of account holder/s.*
Enter phone 1 (landline) or None *
Enter phone 2 (mobile) or None *
This number must be unique to your account for security reasons.
Enter district (part of town, village or suburb) *
Enter postal address. *
Enter postcode *
Additional information which you want the new account
administrator to be aware of when considering your application, e.g.
your wants and offers and name/s of member/s who suggested you
apply or webpages containing references. Individuals named here
may be contacted.
Submit application details.