Associate Supplier Membership Join Now

Name:
Company:
Email:
Email (accounts/invoices):
Address:
Town:
City:
Postcode:
Postal Address (if different):
Phone:
Mobile:
Website URL:
Facebook Page:

Business Information
What is your Product or Service?
Please provide a brief company description
Company Logo Upload: (you may include other images or advertising material)
Would you like to arrange a meeting with us to discuss the best way to promote your business?	yes no

Discount Schemes
Are you interested in joining our fuel discount schemes?	yes no
Please select your fuel applications:	Caltex BP Mobil McKeown
Would you like an application for Bridgestone Tyres - for tyres at corporate rates?	yes no
Are you interested in JLT Insurance?	Vehicle Insurance Life Insurance Business Insurance

Complimentary Magazine Subscription:	Truck and Driver
	Tick here to subscribe to our newsletter Send me a copy of this email By submitting this application you accept that the membership fee is payable yearly to NZ Trucking Association to maintain your advertising package to the association's members and to enable the level of discount on your fuel cards. Acceptance of fuel card applications is not the responsibility of NZ Trucking Association, normal credit criteria applies with the fuel companies.