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* 1. Please provide the full legal name of your business:

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* 2. Are you more interested in scientifically proven natural actives or synthetic actives?

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* 3. Are you more likely to be interested in South African (indigenous) actives or is the origin irrelevant?

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* 4. Please rank the following natural active ingredients according to what you would be most interested in (from most interested to least).

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* 5. If you selected other, please specify.

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* 6. In which form would you like to receive the actives?

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* 7. If you selected other, please specify.

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* 8. How many kilograms would you require per month?

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* 9. Do you have any other specific requests?

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* 10. Do you have alternative natural actives that you would like to contract manufacture through Blyde Botanics? If so, please provide more information.

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