8 Digit Numbers (GTIN-8s)

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8 Digit Numbers (GTIN-8s)
Application Form
Important Information
• Refer to GS1 Australia Fact Sheet on Allocating GTINs before applying.
• GS1 Australia Full Membership Subscription and Licence holders are entitled to obtain a restricted set of directly allocated 8
digit Global Trade Item Numbers (GTIN-8s) upon request.
• GS1 Australia reserves the right to reject any application for direct numbers to be issued without cause. It should not be
assumed that a precedent has been set by the previous allocation of GTIN-8 numbers to a “like” or similar type product under
the previous conditions of issue.
• Failure to complete this form in full, legibly, including all mandatory fields identified with *, will result in a processing delay
• Each application for directly allocated GTIN-8s will incur the following charges:
−− An administration fee per request for allocation of $67.50 + GST.
−− You will be billed for each GTIN-8 allocated or reinstated $67.50 + GST. This fee is an annual renewable fee.
−− You must supply a copy of artwork and samples to make sure the product cannot fit an EAN-13 barcode.
• All fees quoted exclude any discounts or surcharges based on payment method, and are exclusive of GST.
Section 1: Company Details
GS1 Australia Account Number
*Company Name / Trading Name
Division of / Parent Company (If Applicable)
ABN/ACN Other Registered Company Identifier
*Company / Head Office Street Address
*Suburb/City
*State/Country
*Postcode/Zipcode
Section 2: Contact Details
*GS1 Australia Coordinator / Primary Contact: Individual responsible for allocating GS1 Identification Keys within your company
Title (Ms/Mrs/Mr) and First Name Last Name
Position
Address (If different from Company)
Suburb / City
State / Country
Postcode / Zipcode
Email
Direct Phone
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*Section 3: Product Information Details
Please provide product information in the following table (or attach a document with equivalent information) for all products that
you wish to obtain directly allocated numbers for.
Your Product Brand Name
Description
Guidelines for the allocation and use of 8 Digit Numbers (GTIN-8s) can be found in the GS1 Australia Information Library under
Fact Sheets - Numbering Trade Items. Please see www.gs1au.org/WorkArea/DownloadAsset.aspx?id=2147484580 and then
select “Allocating a GTIN-8“ to download the document. It is imperative that these standards are followed when using GTIN-8s.
Note: If you wish to cancel a GTIN-8 Number, please advise us by completing a GS1 Identification Keys Cancellation Form.
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*Section 4: Payment Methods
We provide a number of payment options for your subscription membership. Please choose your preferred payment option below:
FF Option A: Direct Debit Payment
• Download the Direct Debit form from our website www.gs1au.org and provide with this application form
• Direct Debit discounts will not apply to this initial transaction, but will be applicable on all other transactions where the Direct
Debit is set up to debit a nominated Bank Account
• Direct Debit via a nominated Credit Card will not attract the standard direct debit discount, however Credit Card processing
fees will not be applied
FF Option B: Credit Card Payment
• A credit card processing fee of 2% applies when paying by credit card. These fees will be applied by GS1 Australia when
processing payment.
• If you wish to make a credit card payment over the phone, please call 1300 227 263
Visa
Mastercard
American Express
Card Holder's Name
Card Number
Expiry Date
Signature
Date
FF Option C: EFT Payment
• Please email your application along with a Remittance Advice to customer.service@gs1au.org or fax to +61 3 9558 9551
• GS1 Australia Bank Details
Bank National Australia Bank
Account Name GS1 Australia Ltd.
BSB No. 083 266
Account No. 69615 7718
FF Option D: Cheque Payment
• Please provide your cheque number
*Section 5: Signature Approval
The GTIN-8 Numbers allocated to your company are exclusively for your use - you must not assign, licence or allow their use by
any other company. Your GTIN-8 numbers will be sent to you upon receipt of your completed and approved application form and
payment of appropriate fees.
I/ We ________________________________________________ declare that I have read, understood and agree to the terms
and conditions as set out in my GS1 Australia Full Membership and Subscription Licence Agreement and/or the Terms and
Conditions available from www.gs1au.org; and that the information provided by me as the applicant, and in any accompanying
documents, is true and correct in every detail, and that when I no longer require these numbers will advise GS1 Australia in
order for their issue to be cancelled.
Full Name (Director/Company Official)
Position
Signature
Date
Download instructions for signing forms
Please return the completed form with payment to GS1 Australia.
GS1 Australia
Head Office, 8 Nexus Court, Mulgrave VIC 3170
Locked Bag 2, Mt Waverley VIC 3149
T 1300 227 263 I E customer.service@gs1au.org
www.gs1au.org
I
F +61 3 9558 9551
I
ABN 67 005 529 920
CONNECT WITH US
GS1 is a registered trademark of GS1 AISBL.
923_0616
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