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Company or Organisation Details
Registered Company Name
(Search Companies Office)
(Start typing name - enter at least two characters to search )
Registered Company Number
Trading Name (if different from your registered company name or you aren't registered)
Name of the Company Director or CEO
*
Your Details
(Name of the agent who is authorised to use this account)
Please enter your legal name as it appears on your most recent driver's licence/passport
First Name
*
Middle Name
Surname
*
Phone Number 1
*
Phone Number 2
Address
*
Email
*
Billing Email
(illion will send your invoices/statements to this email address)
Photo Identification
(We require a copy of
your
photo identification)
*
ID Type:
Driver Licence
Passport
Kiwi Access
18+ Card
Other Photo ID
*
Country:
--please choose--
New Zealand
Australia
Other
*
ID Number:
(NZ Driver's Licence must be 8 characters long and conform to pattern XX999999)
*
Licence Version:
*(5B on Drivers Licence eg 002)
*
ID Expiry:
(dd/mm/yyyy i.e. Day/Month/Year)
*
Photo ID:
(JPEG, JPG, PDF, GIF, PNG, WEBP & BMP that are 3MB or smaller)
Login Details
Preferred Username
*
(must contain at least 8 characters)
Preferred Password
*
(8-20 characters including at least 2 numbers)
(Must be at least 8 characters)
( 8-20 characters including at least two numbers )
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