Price Match Store Enrolment Form

Owner Full Name*
Please enter the store owner's first and last name

Owner Contact Email*
Please enter the store owner's preferred contact email

Owner Contact Phone Number*
Please enter the store owner's preferred phone contact including the state area code
(00 XXXXXXXX)

Customer Account Number(s)*
Please enter your Metcash Customer Account Number(s) separated by a comma
(eg. 123456, 234567)

Is this store owned by a Multi-Store Owner (MSO)?*

Yes No

MSO group name
Please enter the Multi-Store Owner group name if applicable

Store Name*

Street Address*

Suburb*

State*

Post Code*

Store Reference Basket*
Please choose the price match reference basket size to use for this store

Store Contact Name*
Name of contact person for this store. If same as owner, please enter "As above"

Store Contact Phone*
Contact phone number for this store. If same as owner, please enter "As above"

Store Contact email address
Enter store contact email if different to owner contact

Head Office System
Please choose the Head Office System (HOS) for your store if applicable

Back Office System*
Please choose the Back Office System (BOS) for your store. NB: stores must have an accredited BOS vendor to participate in price match

Back Office Software Maintenance Agreement*
Please indicate whether you have a current Back Office Software maintenance agreement

Yes No Unsure

BOS Version Number
Back Office System version number

Email address for Scan Data Reports
Please provide an email address (if different to owner email) for notification reports regarding missing or low scan data

• You are the owner of the store or have been authorised to complete this form on their behalf.
• You have received the briefing pack and read and understood all the materials, including:
o the Terms and Conditions
o the Frequently Asked Questions
o the Store Performance Model
• You agree to participate in Price Match on the basis of the Terms and Conditions [enclosed in the briefing pack, and attached to the email with the link to this form].
• You have formed your own view that Price Match is suitable for your store, including obtaining any legal and financial advice you may require;
• In making your decision to participate in Price Match, you have not relied on any statements or representations made by Metcash Trading Limited or its related corporations, agents or employees, other than as set out in the Terms and Conditions.
• Our privacy policy applies to any personal information provided in this form http://www.metcash.com/legal/privacy-policy/
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Please click on the box to confirm you have understood and agree to the above:*