Form 2 Walla Sweet Onion Handler Registration Form

Vegetable and Specialty Crops

Form 2-Walla Walla Handler Registration

Vegetable and Specialty Crops (Voluntary)

OMB: 0581-0178

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OMB # 0581-0178
Walla Walla Sweet Onion Marketing Committee
PO Box 644, Walla Walla, WA99362
(509)525-1031 ;Fax (509)522-2038

United States Department of Agriculture
Agricultural Marketing Service
Fruit and Vegetable Programs

Walla Walla Sweet Onion Marketing Committee
Marketing Order No. 956 Form No.2
WALLA WALLA SWEET ONION HANDLER
REGISTRATION

-

FORM

IMPORTANT: If you plan to HANDLE Walla Walla Sweet Onions grown in the designated production area of Southeast
Washington and Northeast Oregon during the
season, you are REQUIRED to submit the following information to
the Walla Walla Sweet Onion Marketing Committee prior to May 31. The terms "production area", "Walla Walla Sweet Onions", and
"handle" are defined in Marketing Order No. 956. Copies are available from the Committee office.

COMPANY NAME:
(Please Print)

CONTACT NAME:
(Please Print)

Date

SIGNATURE:
MAILING ADDRESS:
PHYSICAL ADDRESS:
OFFICE PHONE:

CELL:

FAX:

LIST OF BRAND NAMES OR LABELS:

WILL YOU BE INDIVIDUALLY LABELING YOUR PRODUCT?

PLEASE LIST producers ITomwhom you expect to procure the Walla Walla Sweet Onions you anticipate packing
during the
season. Include anticipated acreage ITomeach producer. Use extra sheet if necessary.
(print CUlTentyear)

Producer

Fall Plant

Spring Plant

Producer

Fall Plant

Spring Plant

Producer

Fall Plant

Spring Plant

Producer

Fall Plant

Spring Plant

Producer

Fall Plant

Spring Plant

Producer

Fall Plant

Spring Plant

Producer

Fall Plant

Spring Plant

Producer

Fall Plant

Spring Plant

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0581-0178. The time
required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age,
disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs,
reprisal, or because all or part of an individual's income is derived from any public assistance program (Not all prohibited bases apply to all programs.)
Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact
USDA's TARGET Center at (202) 720-2600 (voice and TDD).
To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW., Washington, D.C. 20250-9410, or
call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.


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