If you already have a set of active passcodes, you only need to complete this form if you are wishing to add an additional account. To confirm your passcodes are still active, please call 0800 453 630 or Email us. Are you a current Chorus Call customer? --- Please Select ---YesNo Primary Contact First Name: * Last Name: * Phone Number: * Email Address: * *For security purposes we can only send account details to a company email address. Billing Contact First Name: * Last Name: * Phone Number: * Email Address: * Organisation Details Company Name: * NZBN: * Department or Main User: *Please add anything you may need us to reference for your internal billing. Company Address: * Billing Address: (if different) Postal Address: (if different) (A wallet card with dial in information will be sent to this address.) Account Features Do you wish to have your conferences recorded?*Please Note: Recordings incur additional charges. --Please select-- Yes No Some* Email Address for recordings: Special Requirements: Would you like further details regarding our web conferencing services? * Learn More --Please select--YesNo Additional Information Payment Method: * *Note: A 2% surcharge, Inc. GST, is applied to Credit Card payments. AccountCredit Card* Receive emails from us on service updates? * Eg: new dial-in numbers, planned outages or product launches. YesNo How did you hear about us? * ---Current/previous userBlog/email/newsletterReferralEvent/trade-showSearch engineSocial mediaOther * I agree to Chorus Call New Zealand's Terms and Conditions of service.