On Pack data collection order form

First name *

Surname *

Phone number *

Email address *

Company name *

Trading name *

Postal address *

Please list all GTINs (barcode numbers) and product names below *

Please select your product(s) state *

Please select what you would like to happen to your product(s) *

To complete your submission, please confirm if you are a GS1 New Zealand member or an affiliate: *

Note: GS1 aims to turn around priority requests in 1 business day and regular requests in 3 business days.

I accept