Application Form – Producer

Contact Name *

Your Position (i.e. Director, Technical Manager, Manager etc.)

Telephone Number *

Email Address

Trading Name *

Address Of Premises To Be Registered *

Correspondence Address (if different)

Annual turnover (not used in fee calculation) *

Number of staff involved in organic operations *

Producer Type - please tick below that apply;

Additional Sites *   YESNO

Have you been certified by another organic certification body? *   YESNO

Have you ever been refused certification? *   YESNO

Have there been any prosecutions within the last 12 months or pending which could affect organic certification? *   YESNO

If you have answered “yes” to any of the above please explain why below

How did you hear about the Federation?

Site area in hectarage/acreage *

Owned Rented

Area used by livestock/crops in hectarage/acreage *

Livestock Numbers (Please specify if numerous activities) *

Aquaculture cages size and numbers *

Do any of your sites or your contracted sites hold certification themselves currently? *   YESNO

Range of items sold e.g. silage, meat, wool, eggs *