User account

Please note that after you submit this registration form an email will be sent to your organisation's email address which will require you to validate your account via a weblink. We at TechSoup New Zealnd find that a large percentage of users unfortunately do not validate their email address causing delays in the registration and qualification process. Please ensure that your spam filters are not filtering our emails. Please contact us if you have not received your validation email within 5 minutes.

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Confirm e-mail address: *

Please re-type your e-mail address to confirm it is accurate.

Password: *

Confirm password: *

Provide a password for the new account in both fields.

Organization Activity

Activity Type: *

Select your organization's primary activity type.

Activity Code: *

Select your organization's primary activity code.

Organization Contact

First name: *

Enter the first name for your organization's primary contact.

Last name: *

Enter the last name for your organization's primary contact.

Job title: *

Enter the job title for your organization's primary contact.

Phone number:

Enter the phone number for your organization's primary contact.

E-mail address: *

Enter the e-mail address for your organization's primary contact.

Organisation Name *
Address 1 *
	(No Post Office Boxes) We require a street address, we cannot deliver to a PO Box
Address 2
City *
Postal Code *
Country *
Phone *
Fax
Website
	Please start the website address with 'http://' (e.g. 'http://www.YourOrganization.org')
Budget *
	Please enter your organisation's approximate annual budget. This information is a requirement of our donor partners. Please enter only figures in this field, and no letters. For example, enter 5000000.
Qualification Status	Not Started

Organisation is non-exclusionary and non discriminatory *	Yes No
	I am willing and able to provide evidence that my organisation is non-exclusionary and non discriminatory.
Terms of eligibility *	Yes No
	I confirm that my organisation meets all the Eligibility Criteria.
Equipment request is authorized *	Yes No
	I am willing and able to provide evidence that a Director or Trustee of my organisation has requested the equipment.
IT Budget *	Yes No
	I am willing and able to provide evidence that my organisation has an identified IT budget:

Do you wish to receive:	Updates on the TechSoup New Zealand Program TechSoup New Zealand News
How did you hear about us?
Please Specify
	Please specify source of referral.
Mission Statement
	Please enter your organisation's mission statement .

Community served
Size of community served
What type of internet connection does the library have?
Does your library have?	Ethernet LAN Wireless LAN VPN (virtual private network) None of the above
Do you provide public access to the internet?	Yes No
Number of public terminals

User account

TechSoup NZ

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Charities Commission Number
	Please enter your Charities Commission Number as issues by the Charities Commission - Komihana Kaupapa Atawhai e.g. "CC54321". Please note: If you have not been issued a CCR, a copy of your IRB charity status letter will need to be faxed through to us to verify your organisation.