New client form

* Mandatory

If you would like to become a client with AJ Park, please complete and submit this form.

If you would prefer to print and fill out the form, please scroll to the bottom of this page to download a copy.

 

If you are an individual or sole proprietor, please give us your date of birth

  • authorise AJ Park to obtain any information about your credit details within the guidelines set out in either The Credit Reporting Privacy Code 2004 issued under section 46 of the Privacy Act 1993 (New Zealand) or the Privacy Act 1988 (Australia)
  • authorise AJ Park to pass on any information from this application or its enquiries to other parties for the purpose of credit evaluation
  • confirm you are giving us true and correct information
  • confirm you have read and agree to AJ Park's Client Charter (New Zealand) or AJ Park's Privacy Policy and Client Charter (Australia)

Download and print our new client form

If you would prefer to print and fill out the form, you may download our new client form and send it to us by post, fax or email. Details are included on the form.

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