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Nominee Form

Nominate a person to receive a benefits card loaded with Membership benefits and discounts.

*Required fields are included with an asterisk 

Business details

Vehicle details

Nominee details

I understand that the information provided by me may be used by the NZAA for administrative purposes and for the purpose of providing me with information relating to products and services from time to time. For this purpose the NZAA includes itself and any division, subsidiary, third party under contract, or joint venture companies. *