Quality Assurance International

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Company Information

Company Name

* Mailing Address

* City

* State
Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ----- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ----- Aguascalientes Baja California Baja California Sur Campeche Chiapas Chihuahua Coahuila Colima Distrito Federal Durango Guanajuato Guerrero Hidalgo Jalisco Mexico Michoacan Morelos Nayarit Nuevo Leon Oaxaca Puebla Queretaro Quintana Roo San Luis Potosi Sinaloa Sonora Tabasco Tamaulipas Tlaxcala Veracruz Yucatan Zacatecas ----- Other-Fill in box to the right  

* Postal Code

Country
United States of America Canada Mexico Other-Fill in box to the right  

Primary Contact

Title
None Dr. Mr. Ms. Mrs. Miss

* First Name

Middle Initial

* Last Name

* Phone

Extension

Fax

Mobile

E-mail Address

Job Title

Alternate Contact

Title
None Dr. Mr. Ms. Mrs. Miss

* First Name

Middle Initial

* Last Name

* Phone

Extension

Fax

Mobile

E-mail Address

Job Title

* How did you hear about QAI?

* 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 Japan European Union Canada Québec

Type of operation (check all that apply):
Handler/Processor (Click to read definition)
Handler/Distributor (Click to read definition)
Handler/Restaurant (Click to read definition)
Handler/Retail (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)

Please tell us what you are working to accomplish with organic certification, and what your process will be: