Apply for CANSA’s Seal of Recognition

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Your Name*

Business Name*

Telephone Number*

Your Email*

Your Product*

Product Category*
---ProtectionEdible Consumer GoodsNon-Edible Consumer GoodsPatient Care

Message*

By submitting your details, you agree to receive communication from The Cancer Association of South Africa (CANSA).

We undertake to treat your information confidentially and will not pass them on to third parties.

I herewith give permission that personal information which is required may be stored on paper-based and/or digital systems of CANSA and may be used for the purpose of the project / service required. I consent to CANSA using my data for statistical purposes (no personal information will be used). Statistics will be used for internal research and for external stakeholders’ information only.

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