Manufacturer Application Form
This form is to be filled in by manufacturers (including contract manufacturers), importers and wholesalers, raw ingredient suppliers and direct selling companies of natural health products. Information supplied must be filled in by the person duly authorized to receive TNHA communications, and with whom we will liaise with.
Once we have received your complete application form, one of our representatives will contact you and send you an invoice for payment for your annual membership fee along with banking details. When your fees have been received, you will be sent your Membership Certificate, welcome letter and receipt.
* Required
Title
Choose
Prof.
Dr.
Mr.
Mrs.
Miss.
Ms.
First Name
*
Please fill in your first name.
Your answer
Surname / Last Name
*
Please fill in your surname or last name.
Your answer
Company Name
*
Your answer
Contact Email Address
*
Please fill in your email address.
Your answer
Company Postal Address
*
Where can we send your membership certificate and receipts to.
Your answer
In which Province is your company headquarters located?
*
Choose
Eastern Cape
Free State
Gauteng
Kwazulu-Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
Outside South Africa
Company Telephone Number
*
Please fill in your telephone contact number (include dialing code)
Your answer
Type of Company
*
What type is company do you represent?
Manufacturer (manufacture your own products)
Contract Manufacturer (manufacture for others)
Importer
Wholesaler
Raw Ingredient Supplier or Herb Grower
Required
How many natural health products do you sell?
*
1 - 10 products (small scale business) R5,000.00 / year membership
11-20 products (medium sized business) R7,500.00 / year membership
21 or more products (large business) R10,000.00 / year membership
What type of natural health products do you sell?
*
Let us know what type of products you sell. You can make more than one selection.
We sell food supplements (vitamins, minerals, amino acids, probiotics etc)
We sell herbal products.
We sell homeopathic products.
We sell super foods.
We sell natural skin products and cosmetics.
Other innovative natural products (not listed above)
Required
Would you like to volunteer to serve on the Manufacturer Working Group?
*
We need volunteers from industry to serve on the Manufacturer Working Group?
Yes
No
Would you like to receive our monthly newsletter keeping you informed on regulatory issues?
*
Yes
No
Required
Would you be interested in advertising in our newletter and/or social media pages?
*
We reach 25 000+ health stores, pharmacies, natural health practitioners and health conscious consumers each month, plus another 40 000+ social media followers each month.
Yes
No
Required
Are you currently a member of the Health Products Association of South Africa
*
Yes
No
Required
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