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Registration

We have a number of easy ways to join Seniors Card.
  • Complete the online registration form below and pay by credit card.
  • You can request for some information and an application form to be posted or emailed to you here

  • You can download an application form, print it off and post it into us with your payment here

  • Speak to one of our operators by calling 0800 55 00 01 (or +64 3 520 8000 if you are overseas) and join over the phone using your credit card

Payment
We accept Visa, Mastercard and Amex credit cards. Other payment methods include direct credit payment to our bank account, cheque or money order.

The membership fee is payable in New Zealand dollars so overseas members should pay using their credit card which will automatically convert the fee paid to NZ dollars.

You will require the free Adobe Acrobat Reader to view and print the application form. You can obtain this free reader by clicking here

* Required Fields
Select your preferred registration type
Select your preferred membership type
Details
Title:
*
First Name:
*
Middle Name:
Surname:
*
Gender:
*
Date of Birth:
    *
Postal Address
Address Line 1:
*
ZIP/Postal Code:
Address Line 2:
State/Province/Region:
Suburb:
Country:
*
City:
*
Geographic Location:
*
Contact Information
Home Phone: [?]
Work Phone: [?]
Mobile Phone: [?]
Email Address:
*
Interests
Other:
How did you hear about Seniors Card?
Referral:
*
Source Detail:
Terms and Conditions
It is important that you agree with the Terms & Conditions before completing this form.
*
Submit
Check all of the details you have entered on this form, when you are happy that the information is correct please press the 'Register button' below.

Please note that we can only accept the following credit cards:

AMEX   VISA   MasterCard

Verified By Visa   Mastercard SecureCode

A secure credit card payment window will appear and allow you to complete the final step of your registration.

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