Staples Rodway KiwiSaver Member Enrolment

Your Details

Title:

First Name: *

Surname: *

Date of birth:

IRD Number: *

Your Postal Address

Number & Street:

Suburb:

City:

Postcode:

Your Phone Number

Telephone:

Work:

Mobile:

Your Email Address

Email: *

Primary Employer Details

Company Name:

Postal Address:

Telephone:

Elected Contribution Rate
(as a % gross wage or salary):

2% 4% 8%

I confirm that I have a copy of the Investment Statement available on the website

 Yes  No please send me one 

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