E-commerce/Distance Sellers Application

All E-commerce / Online businesses that place packaged goods on the Irish market for private consumers are legally required under PPWR to register with Repak.

Fields marked with an asterisk (*) are required.

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Registered Business Address

Address Line 1 *

Address Line 2

Town / City *

Postcode / ZIP Code

Country / Region / State *

Country *

Billing Information

Company Name *

This is the name of the business that will appear on the invoice.

Statement Email Address *

Invoice Email Address *

Phone Number *

e.g. +44 for UK

Is the billing address different from the Registered Business Address?

Address Line 1 *

Address Line 2

Town / City *

Postcode / ZIP Code

Country / Region / State *

Country *

Contact Information

Please provide contact details for each of the following: Membership Applicant, CEO, Finance Contact and Main Point of Contact (POC).

If completing as Membership Applicant, you must have the authority to sign on behalf of the organisation and declare all information to be true and correct.
If you are a Consultant acting on behalf of a business, please provide details for each of the following: Membership Applicant, CEO, Finance Contact and Main Point of Contact (POC).

Review Your Details

Declaration

I confirm and agree to submit this registration application.

E-commerce/Distance Sellers Application

Company Information

Registered Business Address

Billing Information

Contact Information

Review Your Details

Declaration

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