SANTHA Membership – Retail Application Form Please enable JavaScript in your browser to complete this form.Shop Name, Company Name, t/a *Contact Number *Contact Email *EmailConfirm EmailContact Name *FirstLastPostal Address for Certificate Delivery *Type of Company *Online ShopHealth ShopTraditional Herbs ShopDirect SellerPharmacy Type of Product/s *Herbal ProductsHomeopathic ProductsSuper FoodsSupplementsNatural Skin/CosmeticsSubmit