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Importer and Manufacturer form

If you import or manufacture a hazardous substance, you must supply us with your business contact information.

Business/Sole trader name *

Trading name *

Business type *

Importer

Manufacturer

Both

NZBN

Business phone number

Business email

Business website

Line 1 *

Line 2

Suburb *

City *

Postcode *

Same as physical business address

Line 1

Line 2

Suburb

City

Postcode

First name *

Last name *

Relationship to business *

Email *

Phone number *

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