Contact name
Telephone number
Email address
Trading name
Correspondence address:	Address of premises to be registered:
Annual turnover (not used in fee calculation)
Number of staff involved in organic operations

Organic Operation Activity

(Please see the Organic Activity Classification sheet if you are unsure)

Please tick below that apply;
Trader	☐ Yes ☐ No	Importer/ Exporter (Outside of the EU)	☐
Trader Only (Not handling products)	☐
Retailer / Wholesaler (see definition on classification sheet) (Dealing with shop retailers)	☐
Trader / Wholesaler (Handling products)	☐
Storage	☐ Yes ☐ No	Storage / Distribution (Pre-Packed Products)	☐
Storage / Distribution (Open/ Unfinished Products)	☐
Storage / Distribution for a 3rd Party	☐
Processor	☐ Yes ☐ No	Manufacturer (handling raw products)	☐
Packer (handling raw products/relabelling sealed products/breaking from bulk)	☐
Packer / Manufacturer for a 3rd Party	☐
Additional Sites	☐ Yes ☐ No Please detail which scope/s these require in the email/ post along with your application form. Address:

Please answer the following questions:

Have you been certified by another organic certification body?	☐ Yes ☐ No
Have you ever been refused certification?	☐ Yes ☐ No
Have there been any prosecutions within the last 12 months or pending which could affect organic certification?	☐ Yes ☐ No
If you have answered “yes” to any of the above please explain why on a separate sheet or detail in your returning email
How did you hear about the Federation?

Production site area in square metres
Storage site area in square meters
Do any of your sites or your contracted sites hold certification themselves currently	☐ Yes ☐ No
Number of Processed Products (products added after the quotation is issued may incur extra cost)
Number of Stored/Traded Products (products added after the quotation is issued may incur extra cost)
Countries of origin of organic imports

On behalf of (company)
Position
Date
Print name
Signed

Please return this form to the address or email below.

Your quotation will be based on this document. Any additional sites, scopes and/or products not mentioned will be charged accordingly.