Farming Practices for Local Non-Certified Growers Produce/Other

Name

Name of Farm

Address

Phone E-Mail

Web Site

Briefly describe your farm and farming operations. Please include acreage and products grown.

Describe your overall farming practices.

Are your seeds non-GMO sourced? Yes______No______

Are all of the inputs used on your farm either for production or processing, approved by the *Organic Materials Review Institute (OMRI) Yes_____ No______

*OMRI is the Organic Materials Review Institute is a national non-profit organization which produces an annual directory of products allowed per The National Organic standards for organic production and processing. OMRI listed or approved products may be used in operations that are certified organic under the USDA National Organic Program. For more information and a complete listing of approved products please check out their web site at www.omri.org. List any non-approved OMRI products and reason for use:

Do you have a plan for phasing out the use of those products? Please describe and include a timeline.

If no phase out plan please explain why:

What methods do you employ to build up your soils?

How would you describe your environmental practices?

What else would you like to share with us about your farm and growing practices? Thank you for sharing information about your farm and farming practices. This information helps us provide better customer service to our members and shoppers as well as providing us with valuable information about you our valued Farm partner. We ask that you keep us informed of any changes in your farming practices that differ from the information you have stated above. We will be asking you to update this form on a yearly basis for our files.

Please return this form to Chris Jacobs Produce Manager or Brian Bowman Grocery Manager at Oryana Natural Foods Market. You can drop it off at the Customer Service desk or mail it to: Oryana Natural Foods Market 260 E. 10th Street Traverse City Michigan 49684 Attn: Chris Jacobs or Brian Bowman

I confirm that my practices are as stated above and I will contact Oryana if anything should change.

Signature: ______Date: ______

Rev. 2/15