Vendor Onboarding Form
Email
*
example@example.com
Company / Trading Name
*
Trading Name
Physical Address
*
Street Address
Street Address Line 2
City
Postal / Zip Code
State / Province
Responsible Person
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Date of Application
*
-
Day
-
Month
Year
Date
Place
*
Company area
Logo Upload
*
Browse Files
Drag and drop files here
Choose a file
Upload an image of your company logo
Cancel
of
Company Reg Upload Docs
*
Browse Files
Drag and drop files here
Choose a file
Company Registration Documents
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of
Certified ID Upload Docs
*
Browse Files
Drag and drop files here
Choose a file
Certified copies of ID Books for South Africans
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of
Appointment Letter Upload
*
Browse Files
Drag and drop files here
Choose a file
Appointment letter of responsible person/s, authorized representatives
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of
Referring Agent
*
CannaTrade (CT)
Miss Jane (MJ)
GreenMED
Submit
Should be Empty: