Basic Advertisement - Application Form


To make an application for a Basic Advertisement the following form needs to be submitted.

NOTE: All fields marked with an * are mandatory. The application cannot be submitted until these fields are completed.


Contact Details

Please enter the contact details of the person responsible for this Advertisement. These details will NOT appear in the Basic Advertisement.


First Name: *
Please enter the first name of the contact person for this Advertisement.
Last Name: *
Please enter the last name of the contact person for this Advertisement.
Telephone: *
Please enter the telephone number of the contact person for this Advertisement.
Email Address: *
Please enter a valid contact email address for this Advertisement.


Business Details

These are the details that will appear in the Basic Advertisement.


Business Name: *
Please enter the name of the business you wish to Advertise.
Suburb / City: *
Please enter the primary location of the business you wish to Advertise.
Telephone: *
Please enter the telephone number of the business you wish to Advertise.
Email Address:
Please enter the email address of the business you wish to Advertise.


Camp Region

Please select the Region where your Camp is located. Your Basic Advertisement will appear in these Region Listings.

North Island: South Island:












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Day Activity Region

Please select the region where your Day Activity is located. Your Basic Advertisement will appear in these Region Listings.

North Island: South Island:












Invalid Input







Invalid Input


Day Activity Category

Please select the category/categories that your Day Activity engages in. If your Activity Category is not in the list below there is a space at the bottom of this form where you can add your Activity Category.















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Services / Resources Category

Please select the category of your Service or Resource. If your category does not appear in the list below you may enter it in the space below marked "Comments".









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Additional Information

If there is any additional information you wish to provide us with you may do so here.


Additional Comments:
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Are you human? Are you human?
Please enter the letters exactly as you see them in the box.

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