SCHEDULE I

(s. 4)

AGRICULTURAL PRODUCTS MARKETING ACT

APPLICATION FOR CERTIFICATE OF APPOINTMENT AS A SHIPPER OF GREENHOUSE VEGETABLES

TO: The Ontario Greenhouse Vegetable Producers’ Marketing Board, P.O. Box 417, LEAMINGTON, Ontario

I,

Name

of

AddressPhone

make application for a certificate of appointment as a shipper of greenhouse vegetables under the Agricultural Products Marketing Act and Regulations made thereunder and in support of this application the following facts are stated:

  • 1) Location of business premises

  • 2) Owner of business premises

  • 3) Location of any farm owned by the applicant producing greenhouse vegetables

Dated at this day of

Signature of Applicant