CropLife : New Application

Step 1 : Company Details

The below information will be treated as strictly confidential for the attention of the executive directory only,

Name

Website

Registration Number

VAT Number

Contact Number

Physical Address

Postal Address

Your application for membership will be considered by the Executive Council for CropLife South Africa for final approval.

Step 2 : Representative Details

Chief Executive Officer : This is typically the nominated representative

Name

Contact Number

Email Address

Account / Invoice Contact : Please provide the details of the person responsible for the invoice and payment

Name

Contact Number

Email Address

The next step will ask you a series of questions you need to answer to determine your application type.
By clicking the 'Next Step' button below, you confirm that all the above details are correct and accurate.

Step 3 : Questionnaire

Please answer the questions below as accurately as possible to determine what your membership type will be.

Kindly Note: CropLife SA ExCo reserves the right to request an applicant to appear in person during the review of an application.

Business Activities

In which category does your current business fall? Mark all categories applicable to your business (click on the boxes below)

1. Importer and wholesaler of 3rd party registered crop protection products supplied to CropLife SA members and/or other companies 2. Holds own crop protection product registrations under Act No. 36 of 1947 3. Manufactures and/or formulates own crop protection products that are registered under Act No. 36 of 1947 4. Distributor 5. Retailer 6. Employs CropLife qualified sales agents under contract 7. Purchases products or has regional depots where stock is stored for sales agents

If none of the questions above apply to your business activities please click 'Other' below

8. Other

More About You

The CropLife SA Team is delighted that you have decided to apply for membership of the industry association. To help the Team continually identify the needs of all members and thereby improve the services offered to members, we would be most appreciative if you would provide some background to your decision to apply for membership of CropLife SA

Please provide some comments below describing why you want to join CropLife SA.

We would like to investigate interest in some of the key CropLife SA activities (this is not an exhaustive list of services offered to members); please select all that are applicable.

The next step will determine your membership type and will require further information from you.
By clicking the 'Next Step' button below, you confirm that all the above details are correct and accurate.

Step 4 : Additional Requirements

• Supplier Application •

Based on your determined application type please provide the below additional information

List of all crop protection products registered under Act No. 36 of 1947 with registration numbers

Excel Document

List of all 3rd party crop protection products registered under Act No. 36 of 1947 that your company supplies in South Africa

Excel Document

Letters of support for the application from two current paid-up members of CropLife SA merged into 1 PDF document

PDF Document

Step 5 : Supplier Declaration

Please complete one of the two options below:

-include sales to Namibia, Botswana, Lesotho and Swaziland, but
-exlcude other exports, instruments/implements and toll-formulation

hereby declare that our audited gross sales of crop protection products for the calendar year 2023 were:

hereby declare that our figures have not yet been audited (we undertake to provide CropLife South Africa with a letter from our auditors confirming there is no material deviation from this estimate before 30 July 2024), but we estimate the sales of crop protection products for the calendar year 2023 were:

By clicking the 'Accept' PRO participation box below, I confirm that:

our company has elected to join the CropLife SA 'Producer Responsible Organisation' programme for empty pesticide container management as per the Extended Producer Responsibility regulation for our industry.
I understand and accept that said participation attracts a levy of 0.075% of the below-mentioned turnover for 2023 in South Africa ONLY in order to fund the PRO.
I accept that the PRO levy amount will be included on the membership fee invoice issued by CropLife SA.
Until such time as the PRO levy has been paid, my company will not be allowed to participate in the CropLife SA PRO.

Download EPR Summary

Accept (Click Here)

By clicking the 'No thanks' PRO participation box below, I confirm that:

The company I represent acknowledges that it will not be able to participate in the CropLife SA PRO programme in any form whatsoever.

No thanks

• Distributor Application •

Based on your determined application type please provide the below additional information

List of CropLife members and/or any other companies and/or individuals that you are presently buying from in South Africa

Excel Document

An acceptable liability insurance for retailer/distributor/dealership.

PDF Document

Optional

Recommendation letter from at least 2 supply companies merged into 1 PDF document

PDF Document

Step 5 : Distributor Declaration

hereby declare that

The total number of sales agents in our company at date of signature of this declaration is:

Sales Agents

The total number of sales agents in our company included in this declaration matches the number of sales agents listed for our company in the CropLife South Africa Continuous Professional Development (CPD) database

I confirm the above (Click Here)

Accompanying this declaration, I attach a summary of our sales agents (please include the surname, first name, SA ID Number, email address for verification with the CPD database)

Download Template

Excel Document

By clicking the 'Accept' PRO participation box below, I confirm that:

our company has elected to join the CropLife SA 'Producer Responsible Organisation' programme for empty pesticide container management as per the Extended Producer Responsibility regulation for our industry.
I understand and accept that said participation attracts a levy of 0.075% of the below-mentioned turnover for 2023 in South Africa ONLY in order to fund the PRO.
I accept that the PRO levy amount will be included on the membership fee invoice issued by CropLife SA.
Until such time as the PRO levy has been paid, my company will not be allowed to participate in the CropLife SA PRO.

Download EPR Summary

Accept (Click Here)

By clicking the 'No thanks' PRO participation box below, I confirm that:

The company I represent acknowledges that it will not be able to participate in the CropLife SA PRO programme in any form whatsoever.

No thanks

In addition, by clicking the "Accept" box below, I undertake to ensure our company and all our employees and sales agents abide by the Code of Conduct of CropLife South Africa.

View Code of Conduct

Accept (Click Here)

Please confirm your name and surname filling in the declaration form...

Name

Surname

By clicking the 'Finish' button below, you confirm that all the above details are correct and accurate.

Processing

New Online Application

Step 1 : Company Details

Step 2 : Representative Details

Step 3 : Questionnaire

Business Activities

More About You

Step 4 : Additional Requirements

• Supplier Application •

Step 5 : Supplier Declaration

• Distributor Application •

Step 5 : Distributor Declaration

• Associate Application & Declaration •