Choice.Life - User Registration

Register:
Register: Welcome and thank you, for showing interest in our services. In order for us to make the experience personalised and to help us get an idea of what you need us to do for you we require you to register and fill out our service request form. it will only take a few moments of your time and we will take it from there. *All fields marked with an asterisk are mandatory and must be filled out to register.**
User Name*
Password*
First Name*
Last Name*
Address1
Address2
Code
Country
Email*
Contact Telephone*
Mobile Telephone
Please make sure this is checked if you would like to receive our monthly newsletter with updates on New Zealand as a destination.

The collection, use, storage, disclosure and correction of personal information by Choice Life is governed by The Privacy Act 1993. Personal information means information about an identifiable individual. The company complies with the obligations of this Act. Information Gathered here is purely for choice life customer service reasons, and is not shared or given to any third party organisation or persons in any form. The company takes all reasonable precautions to guard against unauthorised access to confidential and personal information including the loss, misuse and alteration of the information held by the company on its servers. When personal information is no longer required for the purposes for which it was collected it may be deleted.

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	All content on this site is copyright to Choice Life, and may not be used unless with express permission from the company. © Choice Life 2008