SAAHA MEMBERSHIP APPLICATION

SAAHA MEMBERSHIP APPLICATION
Sender
Please note that you will be required to upload a letter requesting membership of SAAHA for the attention of the Executive Director of SAAHA. The letter should be submitted on a company letterhead reflecting company and director details, and be signed by the Chief Executive Officer of the company.
Before starting the application, please tell us where you heard about SAAHA? Select all that apply.*

Online search (e.g. Google)Social media (e.g. Facebook, Twitter, etc.)Referral by a friend, family member, or colleague.Publication or online postLive eventOther (please specify)

BUSINESS INFORMATION
What is your Core Business Activity?*
Which registrations are held by the company?*

Veterinary Medicine under Act 101/1965Veterinary Device under Act 101/1965Stock Remedy under Act 36/1947Farm Feed under Act 36/1947Local manufacturer of registered Act 36 or Act 101 products for local applicantOther (Specify Name and Act)

FURTHER INFORMATION
Is your company part of a larger South African entity?*

YesNo
Please provide the name of this larger South African entity.*
Upload a PDF of the Membership Request on Your Company Letterhead*

Upload a letter requesting membership of SAAHA for the attention of the Executive Director of SAAHA. The letter should be submitted on a company letterhead reflecting company and director details, and be signed by the Chief Executive Officer of the company. PDF, DOC & DOCX files only.
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TERMS AND CONDITIONS
I, the applicant through my acceptance hereof agree that if upon approval of my application, I become a member of SAAHA with all the rights and obligations that this entails. As such we will be bound to the SAAHA Memorandum of Incorporation, codes, rules and conditions that are applicable to SAAHA members, including:
- To promptly submit my annual declaration and pay my SAAHA membership fees when due, as may be amended from time to time at the AFMA Annual General Meeting.
- To at all times comply to the provisions of the AFMA Memorandum of Incorporation, and Codes including the SAAHA Code of Conduct and Code of Marketing Ethics.
- To ensure that all sales personnel complete the SAAHA Basic Animal Health course for SAAHA members within a period of 2 years of employment.
Signature of applicant*

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Date of signed application
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COMPANY DETAILS