Service Directory Information Form

Please complete the form below and we'll contact you to discuss any further information that might be relevant to our website users.  We will also send you a link for payment and once this has been received, your listing will go live on our site. 

Costs are only $120 per region per annum, thereafter $120 for additional regions with a cap of $500 which means if you're nationwide or want to be represented in more than 5 regions, then you'll pay no more than $500 per annum!
General Listing Information (please note this information will be public in your listing)
Company/Group Name*
Contact Person*
Title
Postal Address*
Physical Address (if different from above)
City*
Postcode*
Telephone*
Freephone Number
Facsimile
Email Address*
Website
Region - please choose from the following regions. There is a list of regions at the bottom of the page with the towns included in each. Select as many as apply.*
Northland
Auckland
Coromandel
Waikato
Bay of Plenty
East Coast
Central Plateau
Hawkes Bay
Taranaki
Manawatu-Wanganui
Wairarapa
Wellington
Nelson
Marlborough
West Coast
Canterbury
Otago
Fiordland
Southland
Stewart Island
Category - please choose from the following categories. Select as many as apply.*
Accommodation
Advocacy
Communication
Education & Training
Employment
Equipment (hire)
Equipment (new)
Financial/Legal
Funders
Meals/Dining
Modifications (house & vehicles)
Parenting/Childcare/Family
Safety
Sport & Recreation
Support Services
Tourism
Transport
Please provide a brief description of the services and support your offer*
General Information (please note this is admin info that will be kept private if different from above)
Admin Contact Person
Admin Postal Address
Admin Physical Address
Admin City
Admin Postcode
Admin Telephone
Admin Facsimile
Admin Email
Regions:

Northland (Bay of Islands, Doubtless and Whangaroa Bays, Kaitaia, Rodney, Tutukaka Coast, Whangarei)
Auckland (Albany, Auckland City, Devonport, Great Barrier Island, Helensville, Kumeu, Maukau City, Matakana, North Shore, Orewa, Papakura, Penrose, Silverdale, Waiheke Island, Waitakere, Warkworth, Whangaparaoa)
Coromandel
Waikato (Cambridge, Hamilton, Matamata, Morrinsville, Raglan, Te Awamutu)
Bay of Plenty (Rotorua, Tauranga, Whakatane)
East Coast (Gisborne)
Central Plateau (Taupo)
Hawkes Bay (Hastings, Havelock North, Napier)
Taranaki (New Plymouth)
Manawatu-Wanganui (Feilding, Levin, Palmerston North, Wanganui)
Wairarapa (Masterton, Martinborough)
Wellington (Kapiti Coast, Lower Hutt, Porirua, Upper Hutt, Wainuiomata, Wellington City
Nelson (Abel Tasman National Park, Golden Bay, Kaiteriteri, Mapua, Motueka, Motueka Valley, Moutere, Murchison, Nelson City, Nelson Lakes, Wakefield)
Marlborough (Blenheim, Marlborough Sounds, Picton)
West Coast (Arthur's Pass, Buller, Fox and Franz Josef Glaciers, Greymouth, Haast, Hokitika, Punakaiki, Westport)
Canterbury (Akaroa, Ashburton, Christchurch, Hanmer Springs, Kaikoura, Methven, Rakaia, Rangiora, Tekapo and Mt Cook, Timaru)
Otago (Alexandra, Arrowtown, Balclutha, Cromwell, Dunedin, Lawrence, Oamaru, Queenstown, Wanaka)
Fiordland (Mildford Sound, Te Anau)
Southland (Bluff, Gore, Invercargill)
Stewart Island
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