Form No. 2 (956) Walla Sweet Onions Handler Registration Form

OMB No. 0581-0178

WALLA WALLA SWEET ONION MARKETING COMMITTEE

P.O. Box 644, Walla Walla, WA 99362

Phone (509) 525-1031 / Fax (509) 522-2038

HANDLER REGISTRATION FORM

If you plan to HANDLE Walla Walla Sweet Onions grown in the designated production area of Southeast Washington and Northeast Oregon during the 20___ season, you are REQUIRED to submit the following information to the Walla Walla Sweet Onion Marketing Committee (Committee) prior to May 31, 20___. The terms “production area,” “Walla Walla Sweet Onions,” and “handle,” are defined in Marketing Order No. 956 (7 C.F.R 956). Copies are available at the Committee office.

COMPANY NAME: ___________________________________________________________________

CONTACT NAME: ____________________________________________________________________

SIGNATURE: ____________________________________ Date ____________________________

MAILING ADDRESS: _________________________________________________________________

PHYSICAL ADDRESS: ________________________________________________________________

PHONE: ______________________ FAX: ____________________ CELL: __________________

LIST OF BRAND NAMES OR LABELS: __________________________________________________

_____________________________________________________________________________________

WILL YOU BE INDIVIDUALLY LABELING YOUR PRODUCT? _____________________________

PLEASE LIST producers from whom you expect to procure the Walla Walla Sweet Onions you anticipate packing during the 20___ season. Include anticipated acreage from each producer. Use extra sheet if necessary.

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 ________

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, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

Form 2 (Rev. 01/2014) Destroy previous editions.