Distributor Registration Form 1. Personal Info Name Surname ID Number Language ---EnglishAfrikaans Tel (Home) Cell Phone Email 2. Registered Business. (Registered business that will market and sell the Aloe Ferox products) Business VAT Number Tel (Work) 3. Address Courier Address Street Suburb City Post code Residential Address Street Suburb City Post code 4. Communication preference. What number should we use regarding general Aloe Ferox business? What number must we provide to prospective clients in your sales area? Do you want to receive the newsletter via email? YesNo 5. Other Information. Do you use any of the Aloe Ferox product yourself? Why do you want to market and sell the Aloe Ferox products? Do you have any previous sales experience? Do you have any experience in selling skincare products? Do you already have an existing customer base? Please specify the areas/suburbs/towns ect, where you intend to sell the Aloe Ferox products. Where did you hear about Aloe Ferox? If you are reapplying for distributorship, what motivated you? Please attach a copy of your ID.