Thank you for selecting to register with Power Group Purchasing.  

.

Please indicate whether you are registering a home or business. 

Business Name (If applicable)

Your First Name

Last Name

Street No. / Street Name

Suburb

State

Post Code

Email: (PowerGroup Purchasing will keep in contact with residents via email)

Please re-enter your email address

Please enter your telephone contact number below if you authorise us to telephone you if needed, even if you are registered on the do not call register.

Yes I authorise a representative of Power Group Purchasing to call my number below if required.