AFRIVANA Supplier Application

Supplier Questionnaire

Complete this form to provide information about your company and your products. Upon completion, check your email to schedule an in-take interview with our procurement team.
Company*

Business NameEntity (LTD, LLC, INC, etc.)
Business Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Name & Title*

Full NameRole / Title
E-mail*
example@example.com
Phone Number*

Country Code(Area Code) Phone Number
Years in Business*
Main Markets Served
Timezone
Please enter your current timezone.

Product Categories

Select all product categories you currently have available for supply.
Botanicals (Ex. Hibiscus)Spices (Ex. Ginger)Seed Oils (Ex. Shea Butter)Fruits and vegetablesNuts, Beans & LentilsGrainsOther

Product Readiness

Specify the lead time or current readiness for your products.
Product Availability
Flowers (Ex. Hibiscus)
Spices (Ex. Ginger)
Seed Oils (Ex. Shea Butter)
Other (Ex. Minerals)
Do you have products available that are not listed here? If so, please enter the details in the box below.

Product Capacity (Monthly)

Select the monthly capacity available to supply each product. Note: Totals are in metric tonne.
Botanicals (Ex. Hibiscus)
Metric Tons per Month
Spices (Ex. Ginger)
Metric Tons per Month
Seed Oils (Ex. Shea Butter)
Metric Tons per Month
Fruits & Vegetables
Metric Tons per Month
Nuts, Beans & Lentils
Metric Tons per Month
Grains
Metric Tons per Month
Other (Ex. Minerals)
Metric Tons per Month
Other Product(s)
If you selected 'Other' in the section above, please enter product details here.

Supplier Questionnaire