SUP Application · REPAK Portal

🕐 9 mins

To complete this online application form you will require specific information relating to your business.

1Application Details
2Contact Details
3Bank Details
4Payment
5Summary

Application Details

Company Details

Company Registration Name

*

Trading As

*

Company Registration Number (CRO)

*

Are you a brandholder/Importer?

Do you place any single use plastic (SUP) on the Irish market?

Address

Address Line 1

*

Address Line 2

*

Town

*

Country

County

*

Postal Code/Eircode

*

Phone

*

Email

**

Business Category

Billing Information

Company Name on Invoice

*

Is the invoice/billing address the same as the company address?

Address Line 1

*

Address Line 2

*

Town

*

Country

County

*

Postal Code/Eircode

*

Is the invoice/billing email the same as the company email?

Finance Email

**

Is the invoice/billing phone the same as the company phone?

Finance Phone

*

VAT Number

*

Will invoices require a PO number?

Invoice Sent By

Do you require Repak to complete supplier registration forms?

Do you have a VAT 56B form

Google ReCaptcha Response

*

Address Line 3

*

Address ID

*

Finance Address: Line 3

*

Finance Address ID

*

Application Type