Username*

Email*

First Name*

Last Name*

Store Name*

https://wandering-armadillo-ceai32qsxj.ploi.online/store/[your_store]

Company/Enterprise Number registered on CIPC*

Company Address

Postal Code

Company General Phone (+27)*

Company General Mail*

Company Website

Key Contact First Name and Last Name

Key Contact Phone Number (+27)

Key Contact General Mail

Woman Owned

Facility Certification

Incorporation Date

BEE

Company Size (Employees)

Distribution Channel(s)

Company Overview

Year Started Exporting

Countries Currently Exporting To

Countries Hoping To Export To

Registered under the following trade agreements

CIPC Company Registration

State reason if unable to provide Company Registration certificate

BEE Certificate

State reason if unable to provide BEE certificate

SARS Export Certificate

State reason if unable to provide Export certificate

ID / Passport

State reason if unable to provide ID / Passport

Proof of Address for Western Cape Business Facility

State reason if unable to provide Proof of Address for Western Cape Business Facility

Password*

Confirm Password*