Company / Trading Name*

Division of Parent Company*

Contact Name*

ABN*

Address

City

Postal Code

State - Select One- New South Wales Queensland Victoria South Australia Western Australia Australian Capital Territory Northern Territory Tasmania

Phone*

Mobile*

Fax

Email*

Industry* - Select One -Academic Institution/Education Agricultural Apparel Appliances Automotive Aftermarket Book/Magazine Consulting/Professional/Services Convenience Defence Electronic Components Food & Grocery Foodservice Fresh Produce Furniture General Merchandise Government Greeting Cards Hardware Health Industrial Supplies IT/Solution Provider Liquor Market Research Meat/Poultry/Fish Metal/Steel Office Products Other Paper Plastic Industry Property & Business Services Recording Industry Retailer Semiconductor Manufacturing Standards Body Trade Organisation/Association Transport

No of Products* - Select One - 0 Products 1 Products 2-5 Products 5-10 Products 11-25 Products 26-50 Products 51-100 Products 101-250 Products 251-500 Products 500+ Products (Variance)

Reason* - Select One - To apply barcode symbols to my products To apply barcode symbols to my cartons/shippers To apply barcode symbols to my shipments/logistics units For company internal process improvement For electronic product codes - EPC/RFID For Data Syncronisation - EANnet/GS1net/NPC For GS1 Australia Alliance Program For the other GS1 Australia Services To meet trading partner requirements Other - Please describe in Comments

Nominate Trading Partners

Comments