Producer Registration

Name of Business Owner or Contact Person*

First Last

Name of Business*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are your supplies local?*

Products You Wish To Sell*

Growing/Production Practices*

Environmental Stewardship Practices*

Professional Reference*

First Last

Applicant's Phone Number*

Please Attach Business Logo, Business License, Required Permits

Please attach a copy of your business logo, business license, and any other required permits or documents here, or email to info@sjifh.com

Drop files here or

Accepted file types: png, jpg, pdf, doc, docx, Max. file size: 2 MB, Max. files: 5.