The Report:
Step 1 . General Informaiton
Step 2. Business Data
Step 3. Vehicle Data
General Information
Membership Number:
Contact Name:
*
Phone:
*
03
04
06
07
09
020
021
022
025
027
029
0800
0508
0832
Email:
*
Fax:
03
04
06
07
09
020
021
022
025
027
029
0800
0508
0832
Address:
*
City:
Please send me membership application package.
Report Contact:
Same person as above
Another Person as below
Contact Name:
Phone:
03
04
06
07
09
020
021
022
025
027
029
0800
0508
0832
Email:
Fax:
03
04
06
07
09
020
021
022
025
027
029
0800
0508
0832
Post Address
Report send by:
Post
Email
Fax
Business:
Size of Business
Owner Driver (1 truck)
Small Business (2-5 trucks)
Medium (6-11 trucks)
Large Business (12 + trucks)
Operation in Region(s)
North Land
Auckland
Waikato
Bay of Plenty
Gisborne
Hawkes Bay
Taranaki
Manawatu
Wellington
Nelson
Tasman
Marlborough
West Coast
Canterbury
Otago
Southland
Activity/Operation
-- select --
Bulk Haul
Concrete Mixer
Container
Courier
Dairy
Earthmoving/Tipper
Furniture Removal
General Cartage
Hiab
Line Haul/Freight Forwarding
Logging
Overdimension
Passenger Service
Refrigerated
Rental/Lease
Rubbish Recycling
Special
Stock Haulage
Tanker
Taxi Operator
Vehicle Recovery
Vending
Terms & Conditions:
*
This report is prepared from the information supplied to us by or through you. The NRC has not undertaken an audit of this information and does not warrant its accuracy. NRC shall not be liable to you, your financier/lender or any other party for any inaccuracy, mistake or shortcoming in this report. NRC expressly excludes any liability for any claim for damages including consequential damages (such as loss of profits or business) howsoever and wheresoever arising as a result of the preparation of this report. Before taking any action based on this report we recommend that you discuss it with your accountant or competent financial advisor. Contact the NRC and take legal advice from a solicitor experienced in commercial law if you are considering entering a contract. It is critically important that you understand the ramifications and obligations of any contract before signing.
I have read and agree with the terms and condtions
© Copyright 2012 National Road Carriers (Inc)
