All fields are mandatory. Please leave this field empty.PKW Contact (required) —Please choose an option—Adrian PoaBex KelbrickBrian WalshBronwyn MacFarlaneErena TaylorGeorgia CrotonHelen TkaczykJacqui KingJenny FeaverJoe HanitaKirsty RiddellMel WilliamsMike SwiftPaora RauputuPaula Koot BrennenPuna Wano-BryantRichard ButtimoreRoger LandersSarah CanwellShane MilesStacy LewisWarwick Tauwhare-George Creditor Legal Name (required) Creditor Trading Name (required) Creditor Entity Type (required) —Please choose an option—Sole TraderPartnershipRegistered CompanyTrustLimited PartnershipOther Company Number GST Registered (required) YesNo Please enter your GST Number (Enter the number only no spaces or hyphens) Address DetailsPostal Address (required) Street Suburb City Post code Click here to find your postcode Contact Details Phone Number (required) Contact Name (required) Email address for Remittance (required) Email Address for PO's (required) Supplier Type (required) —Please choose an option—Maori Owned – based outside TaranakiMaori Owned – based in TaranakiNon-Maori 100% NZ OwnedNon-Maori Partly Overseas OwnedNon-Maori 100% Overseas Owned Related parties: Do you or any member of your immediate family currently work for PKW? YesNo Please note their details below; Name Relationship BANK ACCOUNT DETAILSAccount details must be supported Bank Name (required) Bank Account Name (required) Bank Account Number (required) --- Upload supporting evidence here as a pdf, jpg or png file. Please make sure the file is limited to 2mb (required). By checking this box you are agreeing to our Terms and Conditions (required) Please note if you are a vendor from outside New Zealand please contact accounts@pkw.co.nz for more information.