Form No. 3 Walla Sweet Onions Shippers/Receivers Application

OMB #0581-0178
Walla Walla Sweet Onion Marketing Committee
POBox644, WallaWalla,WA 99362
(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.3

SHIPPERS/RECEIVERS

APPLICATION FOR CERTIFICATE OF PRIVILEGE

I request permission to 0 SHIP 0 RECEIVE (please check applicable box) WalIa Walla sweet onions for
grading, packing, or storing outside the Marketing Order No. 956 production area (see Section 956.4 of the
marketing order for definition).
In consideration of granting this permission, I agree to the following stipulations:
1. I will provide a Special Purpose Shipment Report on Walla Walla Sweet Onion Marketing Committee
Form No.4 for all Walla Walla sweet onions handled under this Certificate of Privilege. One copy will
be mailed to the Committee and one copy will be retained for my files.
2. I certify to the Walla Walla Sweet Onion Marketing Committee and to the U.S. Department of
Agriculture that any shipments made pursuant to this Certificate of Privilege will be made in accordance
with the provisions of Marketing Order No. 956, including but not limited to any grade, size, quality,
maturity, pack or container requirements that may be currently in effect. I have read and understand
these provisions and make this application with full knowledge thereof I agree not to knowingly
disparage the name, quality, use, or value of Walla Walla sweet onions. I further agree that in receive
product under this Certificate of Privilege, I will forward to the Committee office all assessments due on
Walla Walla sweet onions handled.
Company Name
Contact Name
Address
Signature

Telephone
Street

City

State

Zip Code

Date

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ACTION BY THE WALLA WALLA SWEET ONION MARKETING COMMITTEE
Permission is hereby granted denied to the above named shipper/receiver to ship or receive Walla Walla
sweet onions under Certificate of Privilege No.
Manager

Date

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