Apply for Business Care Required fields marked with a * AA Business Care account application Full legal name: * Trading name: * Trading as: Year commenced: Nature of business: Street address: Postal address: * City: Post code: Phone number: * Fax number: Mobile number: Contact name: Email address: * Accountant's name: Phone Number: Accountant's address: Proprietor / Partner / Director information Full name(s) of proprietor(s), partner(s) or director(s): Residential address: Date of birth: You have the following cover types to choose from: Passenger Standard Roadservice (Cover up to 2,500 kg) - PASSGSTD Light Commercial Standard Roadservice (Cover over 2,500 to 5,000 kg) - LITECOMSTD Passenger Premium Roadservice (Cover up to 2,500 kg) - PASSGPRM Light Commercial Premium Roadservice (Cover over 2,500 to 5,000 kg) - LITECOMPRM Roadside Repair Care (Cover over 5,000 kg) - HDVSTD Vehicle details Number of vehicles to be registered 1 2 3 4 5 6 7 8 9 10 * We will contact you for further information if you require more than the 10 fields offered in this form. 1. Charge card (Y/N) Registration Make Model GL weight Driver name Cover type Please select... Passenger Standard Light Commercial Standard Passenger Premium Light Commercial Premium Roadside Repair Add another vehicle   How did you find out about AA Business Care? Please select... Internet Magazine - other NZ Business Magazine Radio Word of mouth AA Staff AA Letter AA Postcard AA Website Business partners Please enter CCC or centre code: Please enter your business name: Terms and Conditions We warrant that the information given hereon is correct and authorise you to make any enquires you may deem necessary in connection with this application. We understand that you reserve the right to decline the application without giving any reasons and that no correspondence will be entered into in these circumstances. The Application is made subject to the Terms & Conditions that may be amended from time to time under which AA Roadservice is provided and Cardlink cards are issued. A copy of the Terms and Conditions available upon request and will accompany the Card(s) if the application is accepted. Usage of the Card(s) indicates that you have read and accepted the Terms and Conditions. The Principal Applicant, the Card Users and the Named person will be jointly and severally liable for all charges made with or incurred by the use of the Card(s) issued to the Principal Applicant and the card user as provided in such Terms and Conditions. We understand that the Card charge may vary from time to time. We authorize you to honour requests in such form as you require signed by either the authorised signatories or persons designated by them for the issue of a Card to any nominated person or vehicle. * Check this box to declare that you have read and agree to the terms and conditions. Click here to read the Terms and Conditions.