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.
1
Your Details
2
Licence Information
3
Insurance & Emergency Contact
4
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
- please select -
Agriculture, Forestry and Mining
Architecture
Banking & Financial Services
Community Services and Development
Construction
Cultural and Recreational Services
Design
Education and Training
Electricity, Gas and Water Supply
Engineering
Government Administration
Healthcare and Medical
Hospitality
Human Resources and Recruitment
Information and Communication Technology
Insurance and Superannuation
Legal
Manufacturing
Marketing
Media and Communications
Real Estate and Property
Retail
Sales
Science and Technology
Tourism
Trades and Services
Transport and Logistics
Other
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
- please select -
Auckland
Bay of Plenty
Central Otago
Christchurch - Canterbury
Coromandel
Dunedin - Coastal Otago
Eastland
Fiordland
Hamilton - Waikato
Hawkes Bay
Manawatu
Marlborough
Nelson Tasman
Northland
Queenstown
Rotorua
Ruapehu
Southland
Taranaki
Taupo
Waikato
Wairarapa
Wanaka
Wellington
West Coast
Whanganui
Postcode/ZIP
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Falkland Islands (Malvinas)
Federated States of Micronesia
Fiji
Finland
France
France, metropolitan
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Republic of Korea
Republic of Moldova
Réunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
The former Yugoslav Republic of Macedonia
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States
United States Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Yemen
Serbia and Montenegro
Zambia
Zimbabwe
Occupied Palestinian Territory
Timor-Leste
?land Islands
Postal address is the same as street address
Address
Address (line 2)
Suburb/Town/City
State
- please select -
Auckland
Bay of Plenty
Central Otago
Christchurch - Canterbury
Coromandel
Dunedin - Coastal Otago
Eastland
Fiordland
Hamilton - Waikato
Hawkes Bay
Manawatu
Marlborough
Nelson Tasman
Northland
Queenstown
Rotorua
Ruapehu
Southland
Taranaki
Taupo
Waikato
Wairarapa
Wanaka
Wellington
West Coast
Whanganui
Postcode/ZIP
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Falkland Islands (Malvinas)
Federated States of Micronesia
Fiji
Finland
France
France, metropolitan
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Republic of Korea
Republic of Moldova
Réunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
The former Yugoslav Republic of Macedonia
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States
United States Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Yemen
Serbia and Montenegro
Zambia
Zimbabwe
Occupied Palestinian Territory
Timor-Leste
?land Islands
Current Employer
Current Position
4. How did you hear about us? (
optional
)
- please select -
Word of mouth
Someone sent me an email
Website
Postcard/Flyer
Newspaper/Magazine
TV/Radio
Saw you at the station
Sign on car
Festival
Other
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 select -
Business Monthly
Please enter an account group code, if you have one (
optional
)
Please enter a promotion code, if you have one (
optional
)
Apply promo code
Remove promo code
Status
Go to step 2