Company Information
Company Name
FULL NAME OF CHIEF EXECUTIVE OFFICER
CONTACT PERSON/S
Postal Address
POSTAL ADDRESS LINE 1
POSTAL ADDRESS LINE 2
POSTAL ADDRESS LINE 3
POSTAL CODE
Physical Address
PHYSICAL ADDRESS LINE 1
PHYSICAL ADDRESS LINE 2
PHYSICAL ADDRESS LINE 3
POSTAL CODE
Administration Information
FINANCIAL YEAR END
TEL No.
EMAIL ADDRESS
CELL No.
VAT No.
FAX No.
WEBSITE
Business Specialisation
Distribution
Genetics & Cultivation
Legislation & Licensing
Professional Representation
Research & Education
Technology & Innovation
Membership Type
Licensed Producers - Full Business Membership (R8000 p/a)
Service Providers & Suppliers - Associate Business Membership (R6000 p/a)
Related Non-profit - Partner Membership
Membership Motivation
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