APPLICATION FOR KOSHER CERTIFICATION
PRODUCT INFORMATION PAGE

 

PLANT:		LOCATION:
A) Please indicate the geographic areas where you plan to market the product(s):
B) Are any of these products also produced in a plant not included in this application?		yes	no
If yes, by whom:
Are any other products produced in this plant?		yes	no
C) Please provide the following information regarding products for which you are seeking certification Please list the name of each product for which you are seeking certification. Check the appropriate column(s) for Retail or Industrial/Institutional distribution. Please specify if you desire Passover certification Please list each brand name for the product that you are seeking certification. Check the appropriate column(s) to indicate if the brand name is an In-House and / or Private Label For Private Label brand name: Enter the name of the Private Label Company that owns the brand name. On the last page of this application, provide the company name, address and contact name
I. Product Name Retail Industrial Passover II. Brand Name In-House Private Lbl III. Private Label Company For Internal Use Only DPMF