Price Match Store Enrolment Form

Please enter the store owner's first and last name

Please enter the store owner's preferred contact email

Please enter the store owner's preferred phone contact including the state area code (00 XXXXXXXX)

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

Please enter the Multi-Store Owner group name if applicable

Please choose the price match reference basket size to use for this store

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

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

Enter store contact email if different to owner contact

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

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

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

Back Office System version number

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/ _____________________________________________________________________