Staples Rodway KiwiSaver Member Enrolment

Your Details Are you a NZ citizen or do you have NZ residency?  Yes        No Title First Name Surname Date of Birth IRD number Your Postal Address Number and Street Suburb City Postcode Your Phone Number Telephone (w) Telephone (h) Mobile Your Email address Email Address Primary Employer Details Company Name Postal Address Telephone Elected Contribution Rate (as a % gross wage or salary)  4%         8% I confirm that I have a copy of the Investment Statement available on the website  Yes        No, please send me one