AMI Customer Confirmation

AMI are offering to pay the 2021 Membership of all current SeniorNet members who are AMI customers.

In order for us to process your free membership we need you to confirm that you are an AMI Customer by completing the form below and pressing the Submit AMI Customer Details button at the bottom 

The information collected below will be held by SeniorNet Kapiti and only your (Policy) name will be passed to AMI. The other information will only be shared with AMI if they cannot match your details with their records.