Supplier Intiated >>New and Existing RM Supplier Request Form

This form is for Existing Suppliers to vary any details such as a new bank account # and for all New Suppliers details to be entered.
Those fields marked with an * are required and must be completed for any changes or new details to be actioned
If you are an Existing Supplier where no change is required please enter Not Applicable

Please Note:You must complete all data required and submit this form in one session – part detail will not be saved if you leave this site.
Please have all required Supplier information required available before starting this form
Check List:
Physical and Postal Address details, phone numbers, email addresses
Trading names and details such as GST # and Bank Account #’s

>>Required Field

>>Required Field
Enter your Full Supplier Number here. If you do not have one enter your Rural Rapid Gate #
If a Retail business enter "Not Applicable"

>>Required Field
Please enter the Trading Name of your business i.e. Trust, Limited, Partnership, Company or ‘Not Applicable’

If you are a Registered Business; please supply the full legal name of the Business or 'Not Applicable’

Please select from one of the following options if applicable

If you know the name of the Lowe Corporation Collector who services your farm please enter it here
If you do not know please enter; ‘Advise me’.

If the address for your mail is different to the above address complete this address in full

>>Required Field
Please enter this accurately.If you do not have an email address please enter ‘No Email’

Please note Lowe Corporation does not post remittance advice but does email the same
Please confirm your preferred email address for remittance if different to the above

>>Required Field
For example 09 266 0000 spaces between numbers only please

>>Required Field
First and Last Name

>>Required Field
For example 021 111 2223 spaces between numbers only please

Please enter your GST # e.g. 22-222-333. If you are not GST registered enter ‘No GST’

Please supply your bank and branch numbers in this format only 02-0602-00112223-00

Please enter your Bank Account Name

If you wish to donate funds owed to you from Collection Services please choose from the following

>> Required Field

>> Required Field

If a Dairy Farmer – please indicate the number of Cows to Calve down per annum.
If a Home Kill Operator – please indicate the number of Cattle and Sheep to Slaughter per annum.

If you operate an MPI Registered site (with an RMP) please complete

If you have a specific query call 06 8727756
If you wish to make a Collection Booking call 0800 569 2253

If you have any further specific comments / collection requests please enter them.

Please attach a copy of your bank deposit slip or contract document if available.

Please enter the name of the person completing the form.

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