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Applicant Details
Email Address (user name)
Company details
Company name
Trading name
Postal address
Street Address/PO Box
Suburb
City
Postcode
Business address
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Street Address/PO Box
Suburb
City
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Phone numbers
Day
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Email address and website
Email Address (company)
Email Address (accounts)
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Heavy Haulage
Pilots
House Movers
General Industry Information
Heavy Recovery
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Membership type
We are applying for the following type of membership
Heavy Haulage / House movers
Pilot
Associate
Heavy Recovery
Heavy Haulage / House Mover Details
Pilot Details
Associate Members
Heavy Recovery Details
What services do you provide?
Heavy haulage
House moving
Operating details
Name of holder of Goods Service Licence under the Transport Act 1962
What number of units (fulltime equivalent) do you use in conjunction with your operation?
One
Two
Three
Four or more
How many trailers and of what configuration do you user in your operation? Supply at least one.
Type
Number
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List the names of the people to be responsible for the management and/or control of the service. Supply at least one.
Name
Position
eg: Owner/Driver Director, Partner, Transport Manager
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Name
Position
eg: Owner, Director, Pilot
Class
Number
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Other company information
Please advise any other relevant background info such as company history, experience in heavy haulage industry, etc.
Industry references
Please provide details of any transport companies or other organisations that you have worked with or provided services to, or other people (especially other Association members) that could be contacted about your application.
Statement
The people and company mentioned above hereby apply to become a member of the New Zealand Heavy Haulage Association Incorporated and I/We undertake to be bound by the Constitution and Rules of the said Association and pay the annual subscription fee and levies for membership thereof.
We declare that all information entered above is true and correct.
