Register your interest form

Note: Fields Marked * indicates response is required.

Supplier trading name*

Supplier name*

Full legal name

Street address

Town/City

Postcode

Country

State/Region

State

Region

Postal address

Street address/PO box

Town/City

Postcode

Country

State/Region

State

Region

Website

Type of entity*

Please enter your type of entity

Supplier profile*

Please indicate which of these may apply to your organisation

Local supplier (based within the Kāpiti Coast District)
Regional supplier (based within the Wellington Region)
Māori supplier (owned 50% or more by people with Māori whakapapa and who identify as Māori)
Pasifika supplier (owned 50% or more by people with whakapapa to, and identify as descendants of the indigenous Pacific ethnic groups of Samoa, Cook Islands, Tonga, Niue, Fiji, Tokelau, Tuvalu, Kiribati, Papua New Guinea, Vanuatu, Solomon Islands, and the small island states of Micronesia)
Social enterprise (has a primary purpose to provide a public, community, or environmental benefit and the majority of profit is spent on fulfilling the primary purpose)
Small Medium Enterprise (SME) (less than 20 employees)
None of the above apply

Supplier overview*

Summary information about your capability

Attach supporting documents

Drop files here or

Max. file size: 5 MB, Max. files: 3.

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