Membership Application ⇽ Basic Individual Company

Glue Up account creation information.

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Profile Photo

Please enter a first name

First Name *

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Please enter a last name

Last Name *

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Please enter a valid email address
e.g. john.doe@glueup.com

Email Address *

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・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

Password *

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・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

Confirm password (at least 8 characters) *

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Please fill in your member application details.

Please enter a first name

First Name *

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Please enter a last name

Last Name *

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Please enter a valid phone number including country code

Phone *

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Please enter a valid phone number including country code

Secondary Phone Number

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Please enter a valid email address
e.g. john.doe@glueup.com

Email *

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Please enter a valid email address
e.g. john.doe@glueup.com

Secondary Email

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Occupation

Title/Position

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Company

Industry

Roles

COMPANY PROFILE

Please enter a company description

Company Description *

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Please enter a reason for joining the smme chamber of commerce

Reason for joining the SMME Chamber of Commerce *

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Please enter a what specific targets are you aiming to achieve in the short term and long term?

What specific targets are you aiming to achieve in the short term and long term? *

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Please enter a what is the biggest challenge facing your business right now, and how do you plan to overcome it?

What is the biggest challenge facing your business right now, and how do you plan to overcome it? *

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Company

Company Registration Number

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Please enter a valid date
e.g. mm/dd/yyyy, dd-mm-yyyy or yyyy-mm-dd

Date Established

Please enter a value for the other option. The value cannot exceed 255 characters.

Industries

Maximum limit reached (255 characters).

Turnover

Type Of Company

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Number Of Staff Employed

Import & Export

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Years of Operation

Trading Name

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3-Months Bank Statement

Management Account:

Test Group

Past Invoices / Purchase Orders

Annual Financial Statements

B-BBEE - Credentials

BBEE Level

Enterprise Size

Please enter a valid date
e.g. mm/dd/yyyy, dd-mm-yyyy or yyyy-mm-dd

B-BBEE date of Certificate

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Percentage of total business is black owned?

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Percentage of total business is black Woman Owned?

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What Percentage of Your Total Business is Black Youth Owned?

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What Percentage of Your Total Business is Disabled Owned?

Industry Classification

Is The Business Aware of its Industry Regulator?

Is The Business Aware of its Industry Regulator?YesNo

Is the business or its Director a Member of any Industry Bodies? if Yes, please indicate which body.

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Business Accredited for the Provision of its Services by Institution

People

List the business's leadership structure starting with owners than directors listed by name, surname, position and gender

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Number of Directors

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Number of Part-Time Employees

Address

Country/Region

State/Province

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Please Select Valid Province Value

State/Province *

Please Select Valid Province Value

State/Province *

City

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Postal Code/Zip Code

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Address

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Compliance References

Income Tax Number

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Is The Company VAT Registered

Vat Number

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Supporting Documents

Please upload your supporting documents and indicate the expiry date of each document for validity (max size: 20 MB):Click here to upload a file

Membership Refund Policy

Glue Up account creation information.

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