REGISTRATION Complete the following form to register. This field is hidden when viewing the formcrm_idPersonal InformationName(Required) Firstname Last name Mobile phone(Required)Please use the main 9 numbers of your mobile in this mask format. We use this format for sending SMSEmail(Required) Login informationUsername(Required)Nickname(Required)Password(Required) Enter Password Confirm Password Work informationPlease supply the information if its relevent and available.Farm namePackhouse NamePUCPHCProvince(Required)In which province are you based?Select ProvinceEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern CapeRegion(Required)Your region in the province or closest town area. Examples: Patensie areaType of workWhat type of work do you do? Management Admin Technical Packhouse Production Exports Other Type of work - OtherWhat other type of work do you do?Communication PreferencesPlease select the communication preferences to make our communication to you even more relevant.InformationWhat information from us would you prefer? Cutting Edge Publication Event Communication Unsubscribe to all communication Communication methodWhich method of communication would you prefer if we have to contact you or send notifications? Email SMS Telephone call What are your interests?What topics are you interested in? Production Distribution Packing Post Harvest Events Export Markets Other Other interestSecurity question(Required) Yes No Third Choice you need to answer a security question first. This is unfortunately to avoid SPAM applicationsSecurity question(Required)What colour is a banana?CAPTCHA
