Personal Signup Form

Join CityHop NZ

Please complete the following form to apply to become a CityHop NZ member. To be eligible to become a CityHop NZ member, you will need to:

Be at least 18 years old
Have a current driver's licence, and at least one year's driving experience. Foreign driver's licences are accepted.
Have no major violations recorded against your driving record in the last 5 years, including drink-driving convictions and licence suspension

Please note: If you need to use a car within the next two business days, give us a call on 0800 224 89467, seven days a week, between 9am and 5:30pm.

Your Details

Licence Information

Insurance & Emergency Contact

Membership & Payment

Step 1 of 4: Your Details

All questions are required unless marked optional

1. Company/Organisation Details

For account purposes, what is the legal name of your organisation?

Registered NZBN

Industry

If a few words, describe what your organisation does.

Total number of staff

Number of staff who might use CityHop

Add cost codes when making bookings

2. Personal Details

First/Given Name

Last/Family Name

Mobile Number

Home/Work Number

Email Address

We will email you booking confirmations and other important information.

3. Contact Details

Street Address Line 1

Street Address Line 2 (optional)

Suburb/Town/City

State

Postcode/ZIP

Country

Postal address is the same as street address

Address

Address (line 2)

Suburb/Town/City

State

Postcode/ZIP

Country

Current Employer

Current Position

4. How did you hear about us? (optional)

If a member told you about us, please let us know who it was so we can thank them.

5. Membership Plan & Special Codes (Cityhop admin use only)

Please choose the appropriate membership plan

Please enter an account group code, if you have one (optional)

Please enter a promotion code, if you have one (optional)

Apply promo code

Status

From Special Link