Pakihi Registration Form Please complete the form to register your business on the Ngāti Awa Business Directory Pakihi Registration Form "*" indicates required fields Step 1 of 4 25% REGISTER DETAILSAre you a registered Member of Ngāti Awa?Ngāti Awa Member ID* Name* Title MissMr.Mrs.Ms. First Last CONTACT DETAILSPersonal Email* Personal Address*Please note your address will be confidential, but for confirmation of your Ngāti Awa Membership, your address is required. BUSINESS CONTACT DETAILSBusiness Name* Registered Office Address* Business Address* Business Contact NumberBusiness Email Business Website Do you have any Business social media accounts?Does your business have social media accounts you would like to be displayed for customers/clients? Yes No Business Facebook Page Business Instagram Account Other Would you like your Business Address displayed on the business directory page?* Yes No Would you like your Business Contact Number displayed on the business directory page? (If applicable) Yes No BUSINESS DETAILSWhat is your business structure?* Sole Trader Partnership Limited liability company Trust/Incorporated Society Other Business Ownership* Individual(s) owned Whānau owned Hapū owned Iwi owned Other GST Number (If applicable) NZ Business Number (If applicable) What is your core business activity?*Select more than one if necessary (hold ctrl + select with mouse)Accommodation & TravelAccounting & Tax ServicesArts, Culture & EntertainmentAuto Sales & ServiceBanking & FinanceBusiness ServicesCommunity OrganizationsConstructionConsultancyDentists & OrthodontistsEarthworksEducationHealth & Wellness/HauoraHealth CareHome ImprovementInsuranceInternet & Web ServicesInformation Technology Services (IT)Kākahu/ClothingLegal ServicesMarketing & AdvertisingNews & MediaPet ServicesReal EstateRestaurants & NightlifeShopping & RetailSports & RecreationTransportationUtilitiesWedding, Events & MeetingsWhat are your core products/services?What are your core markets and distribution channels?Do you currently recieve regular advice and support from other sources (e.g. accountant, lawyer)? Do you work full-time on the business? Yes No If no, are you: Employed full-time Employed less than 30 hrs/week Business Description*Please provide a detailed description about your business, this will be included on your business directory profileBusiness LogoUpload a high-resolution image of your business logo. If you cannot provide a logo, a default logo will be used. Accepted file types: jpg, jpeg, png, Max. file size: 8 MB. PART 4: Privacy and Registration AgreementPlease thoroughly read through Te Rūnanga o Ngāti Awa Privacy and Registration Agreement before submitting your application. Privacy and Registration Agreement*Privacy Statement Te Rūnanga o Ngāti Awa is required to comply with the provisions of the Privacy Act 1993. Organisations collecting personal information will comply with the provisions of the Privacy Act 1993. Te Rūnanga o Ngāti Awa requires the personal information requested in this document to understand your business and assess whether your business is eligible to be registered as a Ngāti Awa Business with Te Rūnanga o Ngāti Awa. We will use the information for this purpose only and not disclose your information unless authorised by you or as permitted by law. You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. For a copy of your information, or to have it corrected please contact us at runanga@ngatiawa.iwi.nz Registration Agreement By registering with Te Rūnanga o Ngāti Awa I understand that: 1) Te Rūnanga o Ngāti Awa: a) may provide me with information, advice or support based on the information provided in this registration form; b) may be able to provide business support services as may be agreed between me and Te Rūnanga o Ngāti Awa; c) my business may be considered for business opportunities from time to time; d) provides information, advice and support in good faith, but takes no responsibility for any aspect of my business idea or business; e) cannot vet my business for the purposes of funding or any other purpose; f) cannot provide finance for my business, but may be able to help me access it from other sources; g) registration of my business is at the discretion of Te Rūnanga o Ngāti Awa. 2) Should I receive Te Rūnanga o Ngāti Awa business support, summary details (business name, short description) will be published on Te Rūnanga o Ngāti Awa website and social media platforms, subject to the privacy and commercial sensitivity provisions in the Official Information Act 1983. Registration Declaration By registering my business with Te Rūnanga o Ngāti Awa I confirm that: a) the content of this registration form is true and correct; b) 50% of the entity I am registering as a Ngāti Awa business is owned by a person registered as a member of Ngāti Awa as defined in the Te Rūnanga o Ngāti Awa Settlement Act and Charter; c) my business details may be used for communication and promotion activities; d) I will provide if requested any details pertinent to this registration application. By entering my full name and checking the box, I acknowledge that I have read, understood and ‘in effect’ signed the Privacy and Registration Agreement that will be emailed to Te Rūnanga o Ngāti Awa.Enter full name* PhoneThis field is for validation purposes and should be left unchanged.
