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Fields with the (*) are required fields.
Producer Name *
Phone Number *
Cell Phone  Fax Number  
Email Address
Mailing Address *
City *   Prov/State   *
Postal/Zip Code *
  Zero or Reduced Till Farming Practice Used  
 
Alberta Producers *   Check all that apply.
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
 
Saskatchewan Producers *   Check all that apply.
2008 2009 2010 2011
 
Manitoba Producers *   Check all that apply.
2008 2009 2010 2011
 
British Columbia Producers *  Check all that apply.
2008 2009 2010 2011
 

By accepting below and submitting this application, the producer named herein agrees that in submitting this form electronically to be bound by all of the terms and conditions, representations and warranties contained in Terms and Conditions (pointing them to that on that same page of the website). The producer further represents and agrees that it is the Producer named in the Application and Contract and has full right and authority to make this application for inclusion in the Terra Verde contract and unconditionally agrees to be bound by all terms in the Application and Contract.

Terms and Conditions for Terra Verde's Series IX Contract -

* I have read and accepted the Terms and Conditions of the Series IX Contract as part of this contract with Terra Verde Emissions Credits Inc.
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