Scheduled Member Application Form

To complete this online application form you will require specific information relating to your business sector, please see from the checklist below.

  1. 1. The total turnover for business for the previous year. (Excluding V.A.T.)
  2. 2. Your Company Registration Number.
  3. 3. Direct Debit banking details

Estimated completion time: 5 min

0% completed (Step 1 of 3)

* mandatory fields

1. New Applicant Details

Application completed by*:

Please indicate which one of the following best describes your business *

Address of premises* (where the Certificate of Compliance will be displayed)

Yes
No
(Find your Eircode here: https://finder.eircode.ie/#/)
Yes
No

Upload any documentation supporting your application e.g. a recovery operator certificate to show glass collection weights *

I confirm that the information I have submitted is correct and that I agree to comply with the Repak approved Repak Scheme Rules, including any amendments made from time to time