SC-210 App. to AAC for Producers Exemption Certificate 11-13-19

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U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
SPECIALTY CROPS PROGRAM
APPLICATION TO THE AVOCADO ADMINISTRATIVE COMMITTEE FOR PRODUCERS EXEMPTION CERTIFICATE
Avocado Administrative Committee
P.O. Box 900188
Homestead, FL  33090-0848
Tel: (305) 247-0848
DATE

NUMBER OF FRUIT IN SAMPLE
PRODUCER’S NAME

TEL. NUMBER (include area code)
MAILING ADDRESS (City, County, State, and Zip Code)




EMAIL ADDRESS
LOCATION OF GROVE (from established landmarks)

VARIETY FOR WHICH EXEMPTION IS REQUESTED
□ Details		□ Current Regulation		□ Requested Exemption
SHIPPING DATE

WEIGHT
SIZE
HANDLER’S NAME

PRODUCER’S REASON FOR REQUESTING THIS EXEMPTION (If additional space is required, use back)

ESTIMATED QUANTITY OF AVOCADOS FOR WHICH EXEMPTION IS REQUESTED

CERTIFICATION OF STATEMENT: I (we) hereby agree to comply with all of the requirements of the Marketing Order regulating the handling of avocados grown in the Florida production area and with all the rules and regulations issued thereunder.
SIGNATURE OF APPLICANT

DATE
DO NOT WRITE BELOW THIS LINE
COMMITTEE ACTION
MATURITY SUBCOMMITTEE
YES
NO
AVOCADO ADMINISTRATIVE COMMITTEE
YES
NO























































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