Membership Form

Name of institution/company

Company address

Phone Number

Email Address

Website

Full Name

Phone Number

Email Address

In which working group will you join as a member of SSI Indonesia?

Working Group 1: Social Impact (Focuses on farmers’ living income, regeneration, and farmers’ organization) Working Group 2: Regenerative and Climate Smart Agriculture (focus on sustainable agriculture system and innovation practices) Working Group 3: Market Access (Focuses on traceability, price transparency, market structure, and export)

Short Profile of Company / Organization and motivation of joining SSI Indonesia

Commodity Focus: Which spice commodities does your organization focus on?

Working Areas: In which location(s) does your organization operate/produce/purchase spice commodities, or have field-level programs related to spices?

Farmers engaged: How many spice farmers are involved within your organizational scope of work, including trade relations and field-level programs/interventions?

Please briefly describe the sustainability practices your organization has implemented

Please state how your organization can add value for SSI Indonesia

Type of membership

Active ($1000/IDR 15Mil) Assosiate ($350/IDR 5Mil) Honorary