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Citrus Growers’ Association of Southern Africa

Postal Address:

PO Box 461, Hillcrest, 3650, KZN, South Africa

Tel: (031) 765 2514

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Disalox (Pty) Ltd

BUSINESS DETAILS

Business Name(Required)

FBO Business Name(Required)

Business Reg Number(Required)

Business VAT number(Required)

Business Email(Required)

Business Phone(Required)

Business Address

(Required)

Address Line 1 Address Line 2 City State ZIP / Postal Code

Primary PUC Code(Required)

List your primary PUC code. If you have more PUC codes, list them in the next field.

Additional PUC Codes

Do you have additional PUC codes. Please list them here separated by a comma ","

Nearest town(Required)

CGA Region(Required)

District(Required)

Country(Required)

RSA Province(Required)

Postal Address

PO Box(Required)

Main Business Contact

Main Contact Name(Required)

Firstname Last Name

Main Contact Mobile Phone(Required)

Main Contact Email(Required)

Main Contact Type(Required)

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Admin Section

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Company Active

Yes

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PUC code

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CGA Member Number

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X2CRM Company ID

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PUC ID Previous

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Business Application Type

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API Fields

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Content-Type

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visibility

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assignedTo

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c_member_api_tag_field

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