Register Now! To register for the Romeo’s class action. Please fill out the short questionnaire below. Step 1 of 2 50% Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Phone*E.g. 0412 345 678Email* Enter Email Confirm Email Address* Street Address Suburb City State / Province / Region Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date Of Birth* Date Format: DD slash MM slash YYYY Were you employed in a salaried role at a Romeo's supermarket at any time since 2014?*YesNoPlease note that the statutory limitation period on this claim is 6 years. If you have not worked for Romeo's in a salaried role within the last 6 years, you are not eligible to register for this class action as the limitation period for your claim has now expired. Legal Services AgreementThe following documents form the legal services agreement you are about to enter with Adero Law. Please click the following links to access the Class Action Claimant Disclosure Letter and the Class Action Retainer and read each document carefully.Click here to access the Adero Class Action Claimant Disclosure Letter for the Romeo's Retail Group Class ActionClick here to access the Adero Retainer for the Romeo's Retail Group Class ActionYour EligibilityConsent*By submitting this form you: Reasonably believe that you will be eligible to participate in the action; Warrant that: the information you have provided is true and correct; and you will not sign-up or register using any false or misleading details; Consent and authorise us to use the information provided to assess whether or not you may be eligible to participate in the action; and Consent to receive further communications from us regarding any continued participation in the action I agree*Your ConsentConsent*Thank you for being part of the action against Romeo's Retail Group (the Proceedings). By signing below and submitting this form you: Acknowledge that Adero Law now acts for you in respect of the Proceedings; Warrant that you have read the Retainer with Adero law and understand the nature and effect of its contents; Hereby execute and agree to be bound by, and comply with, the terms of the Retainer with Adero Law, and consent to us entering the information you have provided to us into that document; Warrant that you have been given the opportunity to obtain independent legal advice as to the nature and effect of the Retainer with Adero Law and you agree to be bound and comply with the terms of the Retainer with Adero Law: after obtaining, and in reliance on such independent legal advice; or having elected not to obtain independent legal advice; that you have read and understood the nature and effect of our Retainer; and you do not require any explanation or advice in relation to that document. Consent to receive further communications from us regarding any continued participation in the action. I agree.*Signature*EmailThis field is for validation purposes and should be left unchanged.