Organic Council of Ontario Membership Application Form

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
