Please complete the following form to apply for a monthly account.

Note you need to be a registered company and/or a registered motor vehicle trader to apply.

LemonCheck Account Application

Business Name:   Trading as Name: NZTA Customer Number: Registered Trader No: Business Type: LMVD Finance Insurance Investigator Media Goverment Auctioneers Email:   Phone:   Mobile: Fax: Website: Address:   Postal Address:   Suburb:   Postal Suburb:   City:   Postal City:   Payment Method:   Invoice Direct Debit GST Number: Account User Name Login Name:   Password:   First Name:   Last Name:   Job Title: Department: Email: Phone: Mobile:   I confirm that I have read and accept the terms and conditions and that I am authorised to act as agent in the capacity of this agreement. Please enter code shown above:

If you need any information or assistance please contact us.