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KyProudApplication

KyProudApplication

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Published by Shoshannah

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Published by: Shoshannah on Apr 12, 2008
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09/27/2012

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Kentucky Department of Agriculture
K
ENTUCKY
P
ROUD
P
ROGRAM
 
100 Fair Oaks Lane, 5
th
Floor 
Frankfort, KY 40601Phone: (502) 564-4983www.kyproud.com
Company/Farm NameContactAddressCity County State ZipPhone
( )
Mobile
( )
Fax
( )
Email WebsiteType of Business:
Cooperative Farmers’ Market Grower ManufacturerProcessor Producer On-Farm Market/Roadside StandRestaurant Retailer Trade AssociationWholesaler Other, please specify
R
EFER TO PAGE
2
OF APPLICATION TO LIST YOUR PRODUCTS
.
How products are sold:
Wholesale Only Retail Only Both Retail and Wholesale
Are the major ingredients of your products being grown in Kentucky?
 
N/A
 
Yes
 
No
 
In what location are they grown?Are your products processed in Kentucky?
N/A
 
Yes
 
No
In what location are they processed?In what location are they packaged?Do state or federal organizations inspect or license your products or facilities?
If yes, attach copies of inspections, licenses, or permits.
 
N/A Yes No
How did you find out about the “Kentucky Proud” logo?
KDA staff KDA Website TradeshowReferred by current program participant
 
Other:
The Kentucky Department of Agriculture “Kentucky Proud” logo shall be used only on products identified herein andkept on file with the Kentucky Department of Agriculture, Office of Agriculture Marketing and Product Promotion. Thisapplication is for the products indicated on this application and no others. If you significantly alter the products or wantto market other products with this logo, you must obtain Kentucky Department of Agriculture approval.
Initial
 
I have completed the application and read the guidelines for logo use. I agree to follow the guidelines whenusing the “Kentucky Proud” logo, and I certify that the above information is correct and true to the best of myknowledge.
 Signature and Title Date
For KDA Use Only
Date Received: By: Duplication Application? Yes NoMarketing Specialist Review By: Approved Yes No Date Packet Sent:Promotional Material: Small Sticker Large Sticker Farmers Market Banner Garden Center Retail Kit Other
Final Approval: The applicant herein has met the requirements of the logo program and is licensed to use the “Kentucky Proud” logo.
 Signature of Authorized KDA Employee DateKentucky Proud Application Page 1 of 2
 
Products:
B
AKED
G
OODS
 
Breads Buns
 
Rolls
 
Biscuits CakesPies
 
Cookies
 
Brownies
 
Scones
 
Muffins
 
Donuts
 
Other
 
B
EVERAGES AND
Beer
 
Cider
 
Coffee
 
Tea
 
Distilled Spirits
S
PIRITS
 
Juices
 
Water
 
Soft Drinks Wine
 
Other
 
C
ERTIFIED
O
RGANIC
 
Crop
Fruits/Berries
 
Garlic
 
Vegetables
 
Mushrooms
 
Herbs
Livestock
 Poultry Meats Eggs Honey
Processing
 Tea CoffeeOther
 
D
AIRY
P
RODUCTS
 
Butter Cheese
 
Cheese Spread Creamer
 
Whip CreamIce Cream Frozen Treats Milk Sour Cream YogurtOther
F
ISH
 /S
EAFOOD
 
Freshwater Catfish Trout PaddlefishPrawn/Shrimp Other
F
RUITS
 
Apples Blackberries Blueberries Cherries GrapesMelons Pawpaws Peaches Pears PlumsRaspberries Strawberries WatermelonsOther
G
ARDEN AND
Annuals B & B Trees B & B Shrubs Christmas Trees Container Trees
N
URSERY
P
RODUCTS
 
Container Shrubs Hanging Baskets Perennials Poinsettias SodTropicals/House Plants Other
G
ENERAL
G
ROCERY
P
RODUCTS
 
Jams, Jellies, andPreservesCanned/BottledFoodsCereal Condiments SaucesSpreads Spices/Herbs Dried Foods Mixes FlourCornmeal Prepared Foods Soups Shortening/OilOther
M
EATS
 
Beef Pork Lamb Mutton GoatVeal Chicken Turkey Bison VenisonRabbit Ostrich/Emu Eggs Country Ham SausageBacon Ham Brats Hot Dogs Cold CutsJerky Other
M
ERCHANDISE
 
Arts & Crafts Baby Products Candles/ Incense Grilling/Picnic Health and Beauty
(C
RAFTS
)
Household Supplies
Nutrition Supplies Pet Supplies Toys FurnitureOther
S
NACK AND
Candy Gum Mints Fudge Dips
C
ONFECTION
 
Salsa Fruit Snack Gelatin Pudding Honey
P
RODUCTS
 
Syrup Cones Toppings Marshmallows Pop CornPretzels Chips Rice/ Corn Cakes Snack Bars SorghumNuts Other
V
EGETABLES
 
Artichokes Asparagus Beans Beets Bok ChoyBroccoli Brussels Sprouts Cabbage Carrots CauliflowerSweet Corn Cucumber
Edamame Soybeans
Eggplant GreensGreen Onions Kohlrabi Lettuce Okra OnionsParsnips Peas Peppers Potatoes PumpkinsRadishes Rhubarb Summer Squash Sweet Potatoes TomatoesTurnips Tomatillos Mushrooms Winter SquashOther
Kentucky Proud Application Page 2 of 2

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