New Member Application

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You have the option of completing the application through the online form on this page, or by printing out a form and sending it through to us. You should allow 10 working days from the date you join for your application to be processed. You may join the association before you purchase your vehicle. Remember to plan ahead if you need insurance! You can contact Covi Insurance on www.covi.co.nz or 0800 805 965.

Paying by cheque:

You will need to click here for a printable application form. Once completed, mail your application form together with a cheque to NZMCA, PO Box 72147, Papakura, or fax to +64 9 298 5646.

Paying by credit card:

Fill in the easy-to-use online form below. The application and credit card details are submitted via a secure server and your payment is processed via DPS.

* denotes a required field.

* Surname

* Preferred First Name

Partners Surname

Partners Preferred First Name

Date of Birth

* Address
Please use commas to separate address information

* Country

Overseas Applicants

Overseas new members will need to provide the cost of posting the Members Pack to their overseas address, or agree to wait until they reach NZ where they can pick up the pack from the NZMCA office or have it posted to a NZ address. The rates are:

Location	$NZ International Air
Australia	20.86
South Pacific	35.23
East Asia & North America	46.35
UK & Europe	51.57
Rest of the World	55.65
I will pick up the Pack from the NZMCA office when I reach NZ.
I will inform the NZMCA office of a NZ address where they can send the Pack.

Van Name

* Is your vehicle certified self contained (has a self containment certificate)

Yes No

Motor Caravan Vehicle Registration Number

Phone

Fax

Mobile Phone

* Email

Overseas Club Name (if applicable)

Overseas Member No. (if applicable)

Overseas Club Email (if applicable)

Please pay - = TOTAL $. All payments shown are in $NZ.

Membership Declaration

I/We agree to abide by the rules of the NZMCA
I/We understand that upon acceptance of my/our application, I/we will be sent a copy of "THE MEMBERS HANDBOOK".
I/We understand that it is a requirement of joining the NZMCA, that I/we will have my/our motorhome/campervan/caravan certified self-contained within three months of joining /purchasing/completing my/our motorhome/campervan/caravan.

* Would you like your member details to remain confidential from other members?

Yes No

Privacy Declaration

I/We acknowledge and accept that the information collected in this form may be used by the NZMCA to provide me/us with information updating me/us on the full range of services NZMCA offer, including information in relation to Rothbury Covi Insurance Limited trading as Covi Insurance and FNF Fuels. Please note, you can opt out of ongoing communications at any time.
The NZMCA respects your privacy and all details are held in accordance with the NZMCA privacy statement which can be accessed by clicking here.
To ensure your membership is accepted, please tick here *

NZMCA - Because you'll never be alone on the road again