Basic Member Form Clients

Basic Membership Application for Clients

YOUR REGISTER TO PARTICIPATE IN THE NATIONAL BIOSECURITY STANDARDS AND VALUE CHAIN.

Name & Surname (Applicant)

Position

SA ID Number

Company Name

Company Reg No

VAT

Farm Name and Address

Contact Number

Herd Veterinarian Name & Surname

Herd Veterinarian Practice Name

Herd Veterinarian Contact Number

Member Participation Fee

[ANNUAL FEE PER PRODUCTION UNIT /FARM] There is no allocated fee for clients per 12 month period. If you wish to make a contribution as client, any contribution is greatly appreciated. Membership will be registered on receipt of application form.

Declaration

He/she is solely responsible for all information provided for recording on the BIOSEK register and platform for herd marketing purposes. Information is provided unconditionally for recording on the Biosek platform and register. DISCLAIMER Biosek [including and its employees and service providers assumes no responsibility or liability for any errors or omissions in the information supplied by members for recording on the Biosek register and platform. The information contained in or on the Biosek site is provided on an "as is" basis at the sole discretion of the member providing the information and Biosek does not guarantee completeness, accuracy or timeliness supplied.

Basic Membership Application for Clients

Address

Contact

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