First Name *
Last Name *
Email *
Home Phone
Mobile Phone *
Address 1 *
Suburb or RD Number
City *
Postal Code *
Country *
Please select one
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas (the)
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory (the)
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands (the)
Central African Republic (the)
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands (the)
Colombia
Comoros (the)
Congo (the Democratic Republic of the)
Congo (the)
Cook Islands (the)
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic (the)
Denmark
Djibouti
Dominica
Dominican Republic (the)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (the) [Malvinas]
Faroe Islands (the)
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories (the)
Gabon
Gambia (the)
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (the)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Johnston Island
Jordan
Kazakhstan
Kenya
Kiribati
Korea (the Democratic People's Republic of)
Korea (the Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic (the)
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia (the former Yugoslav Republic of)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands (the)
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Midway Islands
Moldova (the Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands (the)
New Caledonia
New Zealand
Nicaragua
Niger (the)
Nigeria
Niue
Norfolk Island
Northern Mariana Islands (the)
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines (the)
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation (the)
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Southern Rhodesia
Spain
Sri Lanka
Sudan (the)
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan (Province of China)
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands (the)
Tuvalu
Uganda
Ukraine
United Arab Emirates (the)
United Kingdom
United States
United States Minor Outlying Islands (the)
Upper Volta
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Region *
Please select one
Other
Northland
Auckland
Waikato
Bay of Plenty
Gisborne
Hawke's Bay
Taranaki
Manawatu Whanganui
Wellington
Tasman
Nelson
Marlborough
West Coast
Canterbury
Otago
Southland
International
Please select a Regional Group *
Please select one
Far North
Mid Northern
Kaipara
Whangarei
Rodney
Franklin
Hauraki Plains
North Waikato
East Waikato
Waipa
King Country
South Waikato
Western BOP
Eastern BOP
Central Plateau
Taranaki
Whanganui
Manawatu
Tararua
Wairarapa
Marlborough
Tasman
West Coast
North Canterbury
Mid-South Canterbury
North Otago
Central Otago
Otago
Gore
Northern Southland
Central Southland
Western Southland
Southern Southland
International
Are you a DairyNZ Levy payer? *
Yes
No
Organisation/Farm Name
Occupation *
Please select one
Dairy Farm Owner
Equity Partner
Share Milker
Contract Milker
Farm Manager
Farm Staff
Rural Professional - Dairy Industry
Education Provider
Student
Other
If other please specify
Are you a rural professional with a farming connection?
Please select one
Financial
Family
Not Applicable
Herd Size *
Please select one
Not Applicable
Under 100
100 to 250
250 to 500
500 to 750
750 to 1000
Over 1000
How did you learn about DWN? *
Please select one
Email
Flyer
Dairy processor
Advert
Word of Mouth
Website
DWN Workshop Event
DWN Webinar
DWN Conference
Other
If other please be specific
What would you like to hear from us about? *
Webinars
Face-to-face events in your region
Conference
**To select more than one, hold down the CTRL button while making your selections
Are there any topics that you would like more information on? *
Animal Care
Environmental
Financial & Business
Leadership
People & HR
Well-being
Other
**To select more than one, hold down the CTRL button while making your selections
If other, please specify
Which industry organisations' products and services do you use? *
AgriSmart
AgriVantage (Sprayfo - Launchpad18 - StalosanF & Biopect)
Ballance Agri-Nutrients
CRV Ambreed
CMK Chartered Accountants
DairyNZ
Farmside
Figured
Finance House Group Limited
FMG
Fonterra
Hamertons Lawyers
LIC
Lightwire
Mediaworks
Rabobank
SealesWinslow
UBCO
Xero
Not Applicable
**To select more than one, hold down the CTRL button while making your selections
Update Contact