Supplier sign-up

Use the form below to register as a Return and Earn supplier

Supplier sign-up

  • Please use the registered company name not the trading name. If you are an individual, please use your own name.



  • Please enter the full registered address of the supplier or (if you are an individual) the address of the business
  • Please enter the ABN or ACN of the supplier.
  • Please enter a name that a notice under the contract should be addressed to.
  • Please enter an email address for receipt of notices under the contract.
  • Please enter the suppliers contact phone number.
  • Please nominate an Executive Negotiator that has the authority to negotiate on behalf of the Supplier in the event of a dispute. You may nominate a different individual at any time by notification to the Scheme Co-ordinator.
  • Please select the supplier structure.
    Registered Company – Two directors or a director and company secretary should sign the contractual documents. If you are the sole director and company secretary you and a witness should sign.
    Individual – You and a witness should sign the contractual documents.

    • Signatory 1

    • If a registered company, please enter the name of a director who will sign documents on behalf of the company. If an individual, please enter the name of the individual.
    • Please enter the title of the first signatory.
    • Please enter the email address of the first signatory.
    • Accepted file types: pdf, jpg, jpeg, gif, png, bmp.

      Please upload certified copy of identity document for the first signatory as outlined in the FAQ.
    • Signatory 2

    • If a registered company with more than one director, please enter the name of a second director or company secretary who will sign documents on behalf of the company. If a registered company with a sole director/secretary, please enter the name of the person nominated to witness the signature of the first signatory. If an individual, please enter the name of the person nominated to witness the signature of the first signatory.
    • Please enter the title of the individual who will sign the documents.
    • Please enter the email address of the individual who will sign the documents.
    • Accepted file types: pdf, jpg, jpeg, gif, png, bmp.

      Please upload certified copy of identity document for the second signatory as outlined in the FAQ.