WASHINGTON APPLE COMMISSION APPLE GROWER ELIGIBILITY CERTIFICATE
(Note: All appropriate spaces on this certificate must be completed to properly qualify your vote.) |
I HEREBY CERTIFY THAT:
Name: ...................................
Mailing Address: ..........................
Orchard Address: ..........................
City: .................... State: .........
By signing this certificate, I grant the commission permission to contact dealer(s) listed above to verify total net lbs. fresh apples shipped in the two prior crop years.
...............................
Signature of Voter
Name (print) .....................
Date ...........................
Note: | A completed apple grower eligibility certificate must accompany each ballot. |
Wash. Admin. Code § 24-12-011
Statutory Authority: Chapters 15.24 and 34.05 RCW. 09-19-074, § 24-12-011, filed 9/16/09, effective 10/17/09. Statutory Authority: RCW 15.24.070(1). 82-17-036 (Order 11), § 24-12-011, filed 8/12/82.