Branch Registration - Safe LP Gas Disitributors Network South Africa
Tuesday 17 September

Branch Registration

Welcome to the Safe Gas Network. Register to become a Safe LP Gas Distributor and join the network of safe distributors. Please make sure you have all your documents ready for upload. Complete the form below to join the network, make sure you complete all the fields and read the code of conduct. Once you registered we will send you all the relevant marketing material for your premises.

 All information and proof provided comprises the applicants Portfolio of Evidence.


APPLICATION FOR FIRST TIME REGISTRATION TO BECOME A MEMBER OF THE SAFE LP GAS DISTRIBUTORS NETWORK OF SOUTH AFRICA

Branch Registration

    1. Business Category

    We offer the following business categories. Please read through the explanations then select your category and membership plan below.

    Retailer / Wholesaler / Hardware / Outdoor & Camping / General Dealer
    R400.00 p/m | R4800 p/a
    Any retailer, wholesaler, hardware, general dealer distributing full LP gas to the end user for Industrial and/or Domestic use.

    Service Stations Distributing LP Gas
    R275.00 p/m | R3300.00 p/a
    Any service station (garage) distributing full LP Gas to the end user.

    Please select a category / membership plan

     


    2. Business Information





     


    3. Business Address







     


    4. Director Details






     


    5. Documents Supply





    Please Note : Max 2MB File Size - pdf, jpg, png, gif, doc, docx

     


    6. Account Details




     


    7. Terms Acceptance

    Declaration

    The applicant confirm, that the information and documentation supplied in support of this application, is correct, to the best of my knowledge.

    The applicant further warrants that if the information supplied in this application changes at any time during the period of Membership with The Safe LP Gas Distributors Network, the applicant will immediately notify the Network of such change.

     

    Protection Of Personal Information Act

    The Safe LP Gas Distributors Network of South Africa confirms that the information and documents supplied in this application may be deemed personal information in terms of the Protection of Personal Information Act 2013 (POPI ACT) and we will accordingly take all reasonable steps to ensure that the information is processed / used / stored in accordance with the POPI Act and for the following reasons only:

    • To evaluate the compliance level of the applicant in terms of all provisions and regulations as required by law,

    • To verify the information and all documentation disclosed herein against any available source.

    Please read and accept the code of conduct by clicking below. Once you read through it you can complete the registration process.

     

    CLICK TO OPEN CODE OF CONDUCT

    DOWNLOAD A COPY


    I have read and agree to all the terms in the code of conduct.
    Signed by :




    Confirms that I have the legal right to act on behalf of the company


     


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