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Confidential Associate Declaration

Please fill in this declaration as accurately as you can while keeping the information confidential...

Declaration

Representative
Company

  • I understand and accept that said participation attracts a levy of R 2,500.00 per staff member in South Africa ONLY in order to fund the CPD Programme.
  • I accept that the CPD levy amount will be included on the membership fee invoice issued by CropLife SA.
  • Until such time as the CPD levy has been paid, my company will not be allowed to participate in the CropLife SA CPD Programme.
No. of Participants

Name
Email Address

Name
Surname