Join NERPO
Application Form for Farmers

Please complete the application form below. Once we have received it we will contact you in order to confirm your membership.

Fields indicated by * are required.

Personal details
Title*   Tel (H)  
Surname*   Tel (W)  
Forenames*   Fax  
ID Number*   Cell  
Email  
Postal Address*  
Code*  
Physical Address  
Code  

Farm location and size
Province*  
Region/district*  
Type of the farm     (e.g. Leased, own or communal)
Size of own farm (ha)  
Size of leased farm (ha)  

Livestock inventory*
No. of Cattle   No. of Sheep  
No. of Goats   No. of Pigs