Samsung Registration

Expression of interest for the
Samsung Family Value program (EPP)

Thank you for your interest in the Samsung New Zealand Family Value Program. To register your interest, please fill out the form below for business consideration

To be part of the Family Value Program, your staff will need to have a company email address.

Company Name(Required)

Industry Description(Required)

Staff Email Domains*(Required)

*Please list out any other email domains that you may have if applicable (add a comma in between to separate different domains)

Do Any Staff Have No Company Email ID(Required)

Company Website(Required)

Number of Employees(Required)

Company Address(Required)

Street Address City ZIP / Postal Code Country

Primary Contact 1(Required)

Email 1(Required)

Primary Contact 2(Required)

Email 2(Required)

Business relationship with Samsung(Required)

Are there any benefits for Samsung / Samsung staff?(Required)

Phone

This field is for validation purposes and should be left unchanged.

Expression of interest for the Samsung Family Value program (EPP)

Expression of interest for the
Samsung Family Value program (EPP)