Standard Advertisement - Application Form


To make an application for a Standard Advertisement the following form needs to be submitted. Once the form is submitted you will be directed to the Payments page.

Cost: $52.00 + GST per year

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 Standard 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 a contact telephone number of the person responsible for this Advertisement.
Email Address: *
Please enter a valid contact email address.
Position within Company: *
What is the position of the contact person within the business? Is this person authorised to make this Advertisement?


Business Details

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


Business Name: *
Please enter the name of the business to be Advertised?
Business Address: *
Please enter the postal / physical address of the business to be Advertised.
Invalid Input
Suburb / City: *
Please enter the Suburb and/or City location of the business.
Postcode:
Invalid Input
Telephone #:
Please enter the business telephone number.
Facsimile #:
Invalid Input
Freecall #:
Invalid Input
Mobile / Cell #:
Invalid Input
Email Address:
Invalid Input
Website URL: http://
Invalid Input


Camp Region

Please enter the region/s that your School Camp is located. Your Standard Advertisement will appear in these Region Listings.

North Island: South Island:












Invalid Input







Invalid Input


Day Activity Region

Please enter the region/s where your Day Activity is located. Your Standard Advertisement will appear in these Region Listings.

North Island: South Island:












Invalid Input







Invalid Input


Day Activity Category

Please enter 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.















Invalid Input













Invalid Input












Invalid Input


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".









Invalid Input


Terms Of Service and Privacy Policy

Terms Of Service *
You are required to read and agree to the Terms Of Service before submitting this application.
Privacy Policy *
You are required to read and agree to the Privacy Policy before you can submit this application.


Additional Information

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

Additional Comments:
Invalid Input


Are you human? Are you human?
Please enter the characters exactly as you see them into the box.


In accordance with the Children's Online Privacy Protection Act a person must be 13 years of age or older to complete and submit this form.

Submission of this form is a Contractual Obligation and you will be invoiced accordingly.

The New Zealand LEOTC School Camps and Day Activity Directory - Monthly e-Newsletter

Joomla Templates by Joomlashack