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Home  >  Food Processing & Safety  >  Certificate of Free Sale

Certificate of Free Sale Request Form

* Indicates a required field.
Contact information for person requesting certificates:
Company Name:
*Contact:
*Address:
Address 2:
*City:
*State:
*Zip:
*Phone: (XXX-XXX-XXXX)
Contact information for plant or producer:
Contact information for company receiving certificates:
*Company Name:
*Address:
Address 2:
*City:
*State:
*Zip:
*Phone: (XXX-XXX-XXXX)
*Number of sets of certificates:
  (1 set = 4 certificates)
Destination country:
Product list:
Regular or Special Service:

We offer two services and fees for certificates:

1. Regular Service - Will be processed within 3 business days and sent out using 1st class mail only. The fee for each set of certificates using Regular Service is $50.00

2. Special Service - Requests will be processed within 1 business day and sent out using Fed Ex, DHL or UPS. You must provide an Account Number below. The fee for each set of certificates using Special Service is $75.00

Any request using a delivery service other than 1st Class Mail or requiring 1 business day service is considered Special Service. Requests will be invoiced separately.
Choose Regular or Special Service:

  

For Special Service, choose one: Fed Ex   DHL   UPS  

For Special Service, enter your Fed Ex, DHL or UPS Account Number:
   
Attach a copy of a current certificate:    (optional)

For email confirmation, please enter your email address:

 

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Wisconsin Department of Agriculture, Trade & Consumer Protection, PO Box 8911, Madison, WI 53708-8911
This institution is an equal opportunity provider.

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