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.

Title

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? *

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)

11-20 products (medium size business)

21 or more products (large business)

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

Would you like to receive our monthly newsletter keeping you informed on regulatory issues? *

Yes

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

Required

Are you currently a member of the Health Products Association of South Africa *

Yes

Required

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