Contact Information Organic Council of Ontario Membership Application Form Page 1 of 2 Business Name: Address: City: Province: Phone: Postal Code: Website: Contact Name: Title: Email: Cell Phone: It is required for voting members of the Organic Council of Ontario be producing, processing, selling, distributing, promoting, or marketing certified organic products or have the intent to become certified within one year of membership.* A. Is your operation certified organic? Yes Transitioning No Business Description If yes or transitioning, who is your certifier? _________________________________________ Certification # _________________________________________ If no, do you intend on certifying within the next 12 months? Yes No B. Do you Sell, Distribute, Promote, or Market organic products? Yes No C. Is your operation headquartered in Ontario? Yes No If no, please indicate what part of your operation occurs in Ontario: _____________________ Business Description: ______________________________________________________________ _________________________________________________________________________________ Organic Products or Services: ______________________________________________________ Communications Directory _________________________________________________________________________________ Please list my business on an Online Directory such as Ontariofresh.ca Yes No Periodically, Organic Council of Ontario may mail or email updates, info and newsletters to members. I do not wish to be included on the OCO mailing list (You may opt out by contacting the OCO office at any time.) Preferred method of communication (check one only): Email Mail *Membership is now available to non-certified organic producers who meet specific criteria 5420 Highway 6 North, Orchard Park Business Centre, Suite 372, Guelph, Ontario, N1H 6J2 [email protected] www.organiccouncil.ca Tel: 519-827-1221 Updated September 2015 Organic Council of Ontario Membership Application Form Page 2 of 2 √ Sector (Choose one only) Membership Sector Association and NGO Certifier Consumer Input Supplier Marketer or Wholesaler Other - Industry Consultant / Expert / Press Processor Producer Payment Details Membership Fee Retail or Direct to Consumer √ Annual Organic Sales (Choose one only) Membership Fee Membership Fee Including HST Consumer $50 $56.50 Under $100,000 Under $500,000 $100 $250 $113.00 $282.50 Under $1,000,000 Under $5,000,000 $650 $1,350 $734.50 $1,525.50 Under $10,000,000 $2,000 $2,260.00 Over $10,000,000 $3,250 $3672.50 Organic Council of Ontario Membership dues are billed annually in January of each year. New and renewal memberships received after October 1st are valid immediately and until Dec 31st the following calendar year. Membership Sector: ______________________________ Membership Fee (HST incl.): $ _____________ Credit Card: Visa MasterCard Card Number: ___________________________________ Expiry Date (mm/yyyy): ______________ Cardholder Name: _________________________ Consent Cash By completing this application you are expressly consenting to the use and disclosure of your information by us in accordance with the privacy policy of our organization. For more information on our privacy policy or our use and disclosure of information, please visit www.organiccouncil.ca or contact the OCO office. Signature Cheque (payable to “The Organic Council of Ontario”) Name: ________________________________ Title: ___________________________ Signature: ______________________________ Date: ___________________________ 5420 Highway 6 North, Orchard Park Business Centre, Suite 372, Guelph, Ontario, N1H 6J2 [email protected] www.organiccouncil.ca Tel: 519-827-1221
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