Producer Membership Application Form

Producer Membership Application
I am applying for Producer Membership with Summerfruit New Zealand, and agree to accept the decision of the Board as to whether I qualify for membership.

If my application is accepted, I agree to abide by the Rules of the Society.
Date

MonthDayYear
Name of Applicant*

First NameLast Name
Legal Name of entity represented*
E.g. Who owns the orchard
Please describe your relationship with the entity *
Postal Address of Entity*

Street Address

Street Address Line 2

Town/CityProvince

Postcode
Physical address of the orchard/s (if different from above)
Contact Email*
example@example.com
Contact Phone Number *

Area CodePhone Number
Total area of orchard/s (Ha)*

	Total Planted Area (Ha)	Total Number of Trees	Are New Plantings Planned in Next 12 Months?	Grown for Export	Grown for Domestic Market	Grown for Processing
Apricots
Cherries
Nectarines
Peaches
Plums
Hybrids

Other crops on orchard/s
Have you purchased an existing summerfruit orchard/s? If yes, please state who you purchased from and advise any known SNZ Property Identification Numbers (SPINs) for the orchard/s.
Is the entity Growsafe registered?*

YesNo
Is the entity registered with NZ Gap?*

YesNo
Is the entity registered with any other food safety programmes? If so, please advise which ones.
I confirm that the information provided is true and correct.

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