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Evidence
HortNZ Membership Number (if known)
Owner / Manager Name
Trading &/or Company Name/s
Are you still growing for commercial purposes?
Yes
No
If no, please advise new owner's details
Contact details
Postal Address
City
Postcode
Mobile
Landline
E-mail
Fax
District Association Membership (if any)
Who collects your HortNZ levy? (e.g Turners & Growers)
Do you ever sell direct to the public? (Via stalls, markets or restaurants)
Are you NZGAP accredited? (If yes, please advise number)
Are you receiving a monthly industry magazine?
Yes
No
Are you receiving the weekly HortNZ newsletter?
Yes
No
If no, would you like to?
Yes
No
Your crops
Crop 1
Fresh or Processed
Fresh
Processed
Outdoor or Indoor
Outdoor
Indoor
Area (Ha)
Crop 2
Fresh or Processed
Fresh
Processed
Outdoor or Indoor
Outdoor
Indoor
Area (Ha)
Crop 3
Fresh or Processed
Fresh
Processed
Outdoor or Indoor
Outdoor
Indoor
Area (Ha)
Crop 4
Fresh or Processed
Fresh
Processed
Outdoor or Indoor
Outdoor
Indoor
Area (Ha)
Crop 5
Fresh or Processed
Fresh
Processed
Outdoor or Indoor
Outdoor
Indoor
Area (Ha)
Crop 6
Fresh or Processed
Fresh
Processed
Outdoor or Indoor
Outdoor
Indoor
Area (Ha)
Biosecurity notifications
Additional property 1
Property name
Physical address
City
Post code
Additional information (optional)
Additional property 2
Property name
Physical address
City
Post code
Additional information (optional)
Additional property 3
Property name
Physical address
City
Post code
Additional information (optional)
Extra contacts
New contact 1
Name
Email
Contact type
NZGAP
Levy contact
Other
New contact 2
Name
Email
Contact type
NZGAP
Levy contact
Other
