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* Apiary Name:

Please initial each statement that applies to you:

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* I (we) declare and affirm that the information submitted via the Certified Naturally Grown (CNG) application is correct and accurate, and that all information will be kept current, complete and up to date to reflect any changes.

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* I (we) have read and understood the appropriate CNG standards, and our practices adhere to the requirements listed therein.

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* I (we) understand that Certified Naturally Grown reserves the right to remove us from the program and deny us the use of the CNG logo and marketing materials for any reason including concerns that we don’t adhere to CNG standards, or have missing or misleading information on the application.

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* I (we) declare and affirm that I (we) will only represent products as Certified Naturally Grown when they actually meet the certification standards and come from a Certified Naturally Grown operation.

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* Please select which of the following statements applies to your apiary:

Please sign and date below:

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* Full name(s)

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* Date

Today's date

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* Use this space for anything you'd like share with us:

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