ProducerApp

First Name*

Last Name (required)

Business Name*

Location*



Please enter your full mailing address:

Street Address*

City*

Province*

Postal Code*

Phone Number*

Your Email*

Website

Products to be sold through the co-op:

Please provide retail pricing (excluding produce):

Farm or production practices/classifications:

Where do you source ingredients (if applicable):

My products are currently available through:

I have read and agree to the Producer Terms and Agreement

* Required fields