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Application form for an Air New Zealand UATP Travelcard

* Indicates fields which are mandatory and must be completed

Applicant Details

 
 
 
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Account Numbers  

Business Type

Please choose a business type and fill in the details below if required

Credit Request

 

Card Details

 

Company Name  

 

Company Name  
Preferred Travel Agency  

 

Company Name  
Department Name  

 

Company Name  
Individual Name  
Position  


Company Contacts

Who will receive Travel invoices / statements and answer payment queries?


 
 
 
 
 

Payment Guarantee

Air New Zealand may require a payment guarantee until the business has established a good trading history with Air New Zealand. This will either be in the form of a bank guarantee or a cash bond.


Payment Terms

   Please complete the Direct Debit Form here


Terms and Conditions


Read our Terms and Conditions




Company Authorisation

Privacy Act 1993:

Air New Zealand Limited (Air New Zealand) is collecting information about the Applicant and (if applicable) its directors to determine whether to open a Travelcard Account in the name of the Applicant and thereafter from time to time to determine whether or not to continue offering credit to the Applicant. Air New Zealand may not be able to open a Travelcard Account if all the requested information is not provided. Information collected and held about the Applicant and its directors may be used from time to time for credit assessment and control, debt recovery purposes and generally to do business with. Information (including default information) may from time to time be disclosed to, and collected from credit reporting agencies, the Applicant's bankers, debt collection agencies and other companies in the Air New Zealand group of companies (the Group) for credit assessment and control and debt recovery. Information disclosed to credit reporting agencies (including default information) will be held by each agency on its system, accessed by the customers of the credit reporting database and used to provide its credit reporting services. Under the Privacy Act 1993, individuals have rights of access to, and correction of, their personal information.


Authorisation:

I/We confirm that I/we am/are authorised to act on behalf of the Applicant and confirms for myself/ourselves and on behalf of the Applicant that all information it has provided to Air New Zealand is true and correct and that I/we have read and agree to the privacy clause above and the terms and conditions applying to the issuance of a Travelcard(s) and authorise Air New Zealand to:

(a) collect information about the Applicant and/or its directors (as applicable) from any person including credit reporting agencies, the Applicant's bankers, debt collection agencies and other companies in the Group for any of the purposes set out in the privacy clause above and for such entities to provide the Company with the information it may require;

(b) disclose information to any person including the credit reporting agencies, the Applicant's bankers, debt collection agencies and other companies in the Group for any of the purposes set out in the clause above and for such entities to collect information from the Company; and

(c) send the Applicant commercial electronic messages from the Company and Group for any of the purposes set out in the privacy clause above.


 
 
 
 


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