ApplicationPlease complete the Form BelowBusiness InformationFull Registered Name of Business Trading As Date Business Established VAT Registration Number Company Registration Number Registered Business Address Bio of Business/Company with relation to Gut Health Contact PersonsPrimary Contact Person Email Address Phone Number Accounts Contact Person Accounts Email Address Directors / Owners / PartnersDetails – Person 1 (Name, ID, Phone) Details – Person 2 (Name, ID, Phone) Details – Person 3 (Name, ID, Phone) Digital & Social Media LinksFacebook Link Instagram Link Website Business Type & Membership LevelType of Business Offer Gut Health ServicesHealth Shop RetailerProduces Gut Health ProductsMembership Level Diamond MemberGold MemberSilver MemberBronze MemberAssociate MemberPayment Option MonthlyYearlyParticipation in The Gut Health AssociationSelect area you would like to get involved in Member Training (manuals, content, graphics, videos, admin)New Membership (recruitment, assessments, site visits)Marketing (social media, blogs, events, videos)Social Development (event coordination, how-to guides, manuals)CommunicationNot now, maybe laterProduct/Service EndorsementWill you be applying to endorse products/services? YesNoRequired Google Drive LinksFood Safety Certificate (Google Drive link) Company COA (Certificate of Analysis) – Google Drive link Other Certifications (Google Drive links) Logo Upload (Optional)Company Logo — PNG with transparent background Applicant Contact DetailsYour Email Your Telephone Number Go Back
