Tower TOWER KiwiSaver

* Registered name of company (as shown in your certificate of incorporation):	This field is required
Number of Staff:	This field is required

IRD Number

* IRD Number:

Contact Details

* Address of registered office:	This field is required
* Address for correspondence:	This field is required
* Company contact:	This field is required
Job title:	This field is required
Telephone (work):	Please select 0304060709021027029 This field is required
Fax:	Please select 0304060709021027029 This field is required
* Email:	This field is required

Associated Company Details

Associated Company:	This field is required
IRD Number:	(Required under clause 47 (1)(B)(i) of the KiwiSaver Act 2006)
Associated Company:	This field is required
IRD Number:	(Required under clause 47 (1)(B)(i) of the KiwiSaver Act 2006)

Authority

	On behalf of (the Company) we wish to appoint TOWER Employee Benefits Limited as our provider of choice as detailed under clause 46(1) of the KiwiSaver Act 2006.
* Name of delegated authority:	This field is required
* Job Title:	This field is required
	Date: