First Name
*
Last name
*
Email address
*
Mobile
Phone
*
Region
Northland
Auckland
Waikato North
Waikato South
Bay of Plenty
Taranaki
Lower North Island
Top of South Island
West Coast
Canterbury/North Otago
Southland/South Otago
International
Other
Organisation name
*
Role
*
Assistant Manager
Contract Milker
Equity Partner
Farm Assistant
Farm Manager
Farm Operations Manager
Farm Owner
Herd Manager
Sharemilker
Rural Professional
Media
Other
List all dairy company(s) / supply number(s)
*
Postal address line 1
*
Postal address line 2 (e.g. RD 1)
Postal address line 3
Postal town/city
*
Post code
*
Farm physical address (if different from above)
Accountant
Accounting firm
Accountant name
Bank
Bank name
Bank branch
Other
DairyNZ contact person
Other rural professional
I authorise DairyNZ to inform the people or organisation(s) listed above that I have registered with DairyBase, so that they can supply information, enter and view data, and request DairyBase reports in respect of my farm business details.
*
I have read and agree to the DairyBase Terms of Use (1)
*
Participate in DairyNZ Baseline Project (2)
Participate in DairyNZ Maori Farming Project (3)