Cartrack Subscriber Form Please Fill in your details below: Individual/Business Details Business Name: NZBN First Name (required) Last Name (required) Primary Contact Number (required) Secondary Contact Number Primary Contact Email (required) Contact Address (required) Billing Details Billing Contact Name (required) Billing Contact Number (required) Billing Email Address (required) Billing Address (required) Sales Rep ---Dave BreretonTara ErlankJohan De WetMarie Le BlondRobyn ThomasOther Vehicle Registration Number(s): Please list all vehicle registrations numbers in the field below. If unsure, state the number of vehicles and temporary registrations will be registered and updated post-fitment. (required) Client Acknowledgement: By submitting this form, the Client acknowledges that Cartrack New Zealand Ltd. has disclosed the features of the product selected. Based on these disclosures the Client acknowledges that the selected product(s) meets the Client’s expectations. If you are uncertain as to the contents of this document please request advice from your salesperson, alternatively contact us as follows: by writing to Cartrack New Zealand Ltd., Unit 15, 21 Poland Road, Wairau Valley, Auckland 0627; by email to email@example.com or phone our Office on (09) 444 1244.