Contact Information
  Primary Contact Information The Primary Contact should be an employee of your company responsible for assigning item numbers to your products to build a barcode and to whom questions or correspondence regarding your U.P.C. barcode program should be addressed.
  I wish to receive information from 3rd parties. Occasionally, GS1 US makes its membership list available to carefully selected suppliers and retailers who can provide you with valuable information about barcoding and ecommerce. Check this box if you wish to receive information from these suppliers.
  Executive Contact Information The Executive Contact should be the Chief Executive (or Chief Financial) Officer of the company.
  Company Name Company Name is the name under which your company is registered to do business. When entering company name, do NOT use dba’s, brand names, product names, fictitious or assumed names.
  Address Line 2 If needed, use this line for additional address information.
     

Company Information
  Primary Line of Business Designate the primary product category of your company’s business.
  Secondary Line(s) of Business  Designate any additional product categories of your company’s business.
  Company Type Designate the company type that best fits your business.
  Number of Items Needing a Barcode Select the range that represents the number of items you will need to identify with unique GS1 identification numbers (U.P.C.s) Include future needs as well. NOTE: Different sizes and colors are considered different products (i.e. red shoes size 6 requires a different GTIN than red shoes size 6.5). 
  Estimated Annual Sales Revenue (US$) Select the range that includes your company’s US Annual Sales Revenue. This figure should include the total sales revenue of your company and not just the products you intend to barcode.
  Does your company have a Food and Drug Administration (FDA) assigned NDC (National Drug Code) or NHRIC (National Health Related Item Code) Labeler Code? For information, contact the Food and Drug Administration at http://www.fda.gov/Drugs/InformationOnDrugs/ucm142438.htm
     

Payment Information
  Payment by Credit Card GS1 US accepts VISA, MasterCard, and American Express. Enter the appropriate credit card information and click “Submit Online Payment.” Your application will be processed within 1 business days after receipt of payment.
  Pay by Mail To pay by mail, click “Pay by Mail” print the invoice and submit along with your payment to:
P.O. Box 71-3034
Columbus, OH 43271-3034