Regular Member Application



Main Contact (For Repak Communications)

Title/Position

Telephone

Mobile

Email

CEO, if different from Main Contact


Financial Contact, if different from Main Contact


Statistical Contact (Person with responsibility for Packaging Statistics Returns twice yearly)


Do you have multiple premises?
Yes No 
If YES, please specify how many (not including primary address above) and provide details with full postal address below.

Bank Details
Repak operates a fee rebate programme to compliant members, subject to certain terms and conditions. Rebates, where applicable, are paid directly to the member’s bank account. If you wish to avail of the fee rebate programme, your bank details will be required for transfer payment. Note: you may also enter this details online on becoming a Repak member.

Bank Name

Bank Account Name

IBAN

BIC

Repak Statistical Training

Repak's privacy policy may be found here

Contact form 7 Campaignmonitor extension by Renzo Johnson - Front end Developer - full-stack developer