Please provide the following information:

Please provide the following information:  (use the "Tab" key to move to the next field)

Applicant's Name
Business Name (if different)
Address line 1
Address line 2
City	, BC
Postal Code
Address of Business (if different)
City of Business (if different)	, BC
Postal Code of Business (if different)
Phone
FAX
E-mail

            I understand the Orders and Rules of the Commission and apply for the License subject to those provisions.

            Please confirm your agreement and understanding of your undertaking by clicking on this checkbox                                 

            The fee for this License is $100.00 plus $5.00 GST per year.  Please confirm you are remitting a cheque by regular mail payable to the BC Vegetable Marketing Commission at  #207  15252  32nd Ave Surrey BC V3S 0R7                                      

                                                                                                                        Mailing of License Fee confirmed                           

  Clicking on the "Submit Form" button will email your application to the Commission.