To ensure you receive the most appropriate application(s) for what you want
to achieve with organic certification, please provide the following information.
How would you prefer to receive application materials?*
E-mailPostal Service
The e-mail you will receive is approximately 3 MB. If your mailbox cannot accommodate this size e-mail,
please select Postal Service delivery.
Company Name
Mailing Address*
City*
State or Province*
Other
Postal Code*
Country
Primary Contact:
First Name*MILast Name*
Phone*ExtFAXMobile
E-mail AddressJob Title
Alternate Contact:
First NameMILast Name
PhoneExtFAXMobile
E-mail AddressJob Title
How did you hear about QAI?*
* Indicates required field
Physical location of primary operation seeking certification:*
Types of products for which certification is being sought:*
Product Marketing:
To which standard(s) are you seeking certification?
USA Canada Japan European Union Québec
Type of operation [Check all that apply .]
Handler/Processor[Click to read definition]
Handler/Distributor[Click to read definition]
Handler/Trader[Click to read definition]
Crops/Producer[Click to read definition]
Crop/Greenhouse[Click to read definition]
Crop/Wild Harvest[Click to read definition]
Livestock/Poultry Producer
Livestock[Click to read definition]
Livestock/Dairy
Livestock/Apiary[Click to read definition]
Handler/Restaurant[Click to read definition]
Handler/Retail[Click to read definition]
Please tell us what you are working to accomplish with organic certification, and what your process will be.