Chorus' non-retail users application form

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Regulated industries

Telecommunications

Name of applicant

Name of user

Email address

Phone number

What telecommunications services does the user intend to purchase from Chorus?

List all related parties to the user as defined by Section 2(1) of the Companies Act 1993

Has the applicant been declared a Network operator by the Minister in accordance with Part 4 of the Telecommunications Act 2001?

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