Farm Business Registration Form
Farm Business Information
Choose one:
Renewal application New application
Registration Number
Ownership Type*
Sole Proprietorship Partnership Corporation
Farm Business Name*
Legal/Owner Name
First Name Last Name
ID No:*
Farm Location*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
Phone Number*
Area Code Phone Number
Email*
example@example.com
Name(s) of Farm Partners
Contact Person
Name and Surname
First Name Last Name
Relationship to farm business
Email
example@example.com
Phone Number
Area Code Phone Number
Address
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
Registration Eligibility
Select one or more than one activities which is related with your farm business:*
Please indicate which activities your farm business is related with:*
Payment Options
Please select the annual gross farm income of your farm business:*
$1- $50.000 / Registration Fee: $170 $51.000 - $150.000 / Registration Fee: $255 $151.000 - $250.000 / Registration Fee: $365 $251.000 - $500.000 / Registration Fee: $445 $501.000 - $750.000 / Registration Fee: $555 $751.000 or more / Registration Fee: $680
Calculation

USD Description

Payment Method

Declaration
I agree that the information that I provide in this registration form is precise and complete. I understand that it is an offence to make false statement on this form according to the laws.
Please choose the application date*
Month Day Year
Date
Signature
Clear
Should be Empty:

Farm Business Registration Form