Product Database | Shift-Africa

Product Registration

Product Registration Form
Business Name*
Product you want to Register
Description
Telephone (office)*
Email*
Business Address
Street Address City
Website URL
B-BBEE Level
Year Established
Area of Interest
Company Registration Number*
Company Number (or ID number if sole proprietor)
VAT Registered*
- Yes
- No
Applicant Information
Contact Person Name*
Contact Person Surname*
Email Address*
Contact Number*
Password*
Please enter a password you would like to use to login and update your information later on.
The information that you complete on this form will be used to keep you informed of all products and offerings associated with the eLan Property Group. Your information will not be shared with any or other 3rd parties and will remain part of our database stored in a secure cloud environment.