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Return and Earn - Supplier Information

Details marked * are compulsory.

Supplier Information

  • 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

Who will be signing the documents?

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.


  • Please select the supplier structure


    • 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


    • Please upload certified copy of identity document for the first signatory as outlined in the FAQ
      pdf, jpg, jpeg, gif, png or bmp files only of less than 5mb in size


    • 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


    • Please upload certified copy of identity document for the second signatory as outlined in the FAQ
      pdf, jpg, jpeg, gif, png or bmp files only of less than 5mb in size

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Your privacy: For the purpose of finalising the contractual documents (including to verify the authority of signatories), Allens, on behalf of Exchange for Change (NSW) Pty Ltd, collects personal information about you and/or the signatories and may share this information with the counterparties (including the NSW Minister for the Environment), other members of the Allens Group both in Australia and overseas and with certain service providers (including DocuSign which may receive or store the information in an overseas jurisdiction, including Germany or the Netherlands). If we do not collect or disclose the information in this way, the documents cannot be finalised. You, and the signatories, have a right to request access to the personal information held by us or by the State of NSW. Further information on how to access or correct personal information held by Allens, or complain about a breach of privacy law, is available at www.allens.com.au/general/privacy.htm. If you provide us with personal information about another person, it is your responsibility to ensure that person receives a copy of this notice.