Customer Name Name of Store E-mail Address Password Confirm Password Address of store Town / City Postcode Region (optional)NorthlandAucklandWaikatoBay of PlentyGisborneHawke's BayTaranakiManawatu-WanganuiWellingtonTasmanNelsonMarlboroughWest CoastCanterburyOtagoSouthlandContact Number Contact addressDifferent Contact Address Town / City Postcode Region (optional)NorthlandAucklandWaikatoBay of PlentyGisborneHawke's BayTaranakiManawatu-WanganuiWellingtonTasmanNelsonMarlboroughWest CoastCanterburyOtagoSouthlandDifferent Shipping Address Town / City Postcode Region (optional)NorthlandAucklandWaikatoBay of PlentyGisborneHawke's BayTaranakiManawatu-WanganuiWellingtonTasmanNelsonMarlboroughWest CoastCanterburyOtagoSouthland Only fill in if you are not human
