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COMPANY DETAILS

Company Name *

Accounts Contact Person *

Email address

Company Registration Number *

ID Number (if Company Registration Number is not available)

Company VAT number *

Address *

Address

City

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Zip/Postal

Telephone Number *

Fax *

Designated Complaints Officer

Complaints Officer Email *

Business Sector *

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Sub-Sector *

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Indicate number of Stores or Outlets *

Does your business have any subsidiaries? * Does your business have any subsidiaries?

Other

Where did you hear about CGSO? *

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CONTACT DETAILS AND SIGNATURE OF AUTHORISED SIGNATORY

Full Name & Surname *

Position *

Telephone (Direct) *

Cellphone Number *

Email Address *

Signature *

Date *

CGSO Annual Fee structure - tick appropriate turnover range that accurately reflects your Company total annual turnover into the consumer goods & services industry* *

Super Group (R5 bil +) Annual Fee: R 180 000 | Once off Joining Fee: R54 000

Group 1 (Above R3 billion to R5 billion) Annual Fee: R 160 000 | Once off Joining Fee: R48 000

Group 2 (Above R1 billion to R3 billion) Annual Fee: R 90 000 | Once off Joining Fee: R27 000

Group 3 (Above R500 million to R1 billion) Annual Fee: R35 000 | Once off Joining Fee: R10 500

Group 4 (Above R100 million to R500 million) Annual Fee: R5 500 | Once off Joining Fee: R1 650

Group 5 (Below R50 million to R100 million) Annual Fee: R3 500 | Once off Joining Fee: R1 050

Group 6 (R1 million to R50 million) Annual Fee: R1 680 | Once off Joining Fee: R504

Group 7 (R1 to R1 million) Annual Fee: R 0 (No Cost)

Financial PDF Upload *

Maximum upload size: 33.55MB

Authorisation *

I declare that the turnover range selected is a factual and correct reflection of the Company’s turnover as reported in our most recent audited financial reports

I acknowledge that on submission of the completed form, the company remains liable for the Annual Fees payment as indicated on the Participation form

Kindly Attach Proof of Turnover/Revenue when you return this form. This information is mandatory and will be kept confidential.

• Participation Fees are calculated based on a funding model as per section 6.2 of the Consumer Goods and Services Industry Code of Conduct. You will be informed when fees become payable and invoiced accordingly.
• As a participant in the scheme, you are bound by the provisions of the Consumer Goods & Services Industry Code as approved by the Minister of Trade and Industry on the 29th of April 2015 under section 82 of the Consumer Protection Act. The Participant (as data subject), by signing this document, hereby confirms that the personal information inserted herein is
true and correct and further consents to the processing of personal information for the purpose of CGSO Participation registration and billing process (“Purpose”), and further confirms that: the personal information is supplied voluntarily, without undue influence from any party and not under any duress.

RETURN ADDRESS: participant@cgso.org.za

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COMPANY DETAILS

CONTACT DETAILS AND SIGNATURE OF AUTHORISED SIGNATORY

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