ࡱ> LgKa Bbjbjڥڥ RR\R\ $$8,$88888^``````o%!N`"`88fuFFFR88^F^FFF8SvFJ0Fs!s!FFs!ZF``ds!$> b:  QCS Aquaculture Payment Form Please refer to the QCS Grower and Livestock Fee Schedule for a full description of all applicable fees as well as the refund policy for each type of fee. The certification fee options below carry significant additional assessment fee obligations. Completion of this form indicates that you have read, understood, and agree to be bound by the current fee schedule. If you have questions about the fee schedule please contact the QCS office for clarification. Additional charges apply for foreign standards verification (EU, JAS, etc.) Name of Operation: _______________________________________ QCS#__________________ Contact Information for Bookkeeping/ Accounts Payable:__________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Certification Fees Livestock producers must use option 3 Choose One: Aquaculture Certification Option 1: 0-2 ac..................................$150........................................$_____ 2-5 ac..................................$200........................................$_____ 5-10 ac................................$275....................................... $_____ 10+ ac................................$375............ ...........................$_____ Acreage corresponds to actual productive acreage like ponds, raceways, containers etc. Aquaculture Certification Option 2: Umbrella Certification of Multiple Grower Locations _____ Primary Certified Location........................................$350.00......................$_______ #____ Additional Associated Locations........X.....................$750.00.....................$_______ Deposits and Additional Fees 1st Time Applicant Fee........................................................................$50.00....................... $_______ (First time applicants only.) Inspection Deposit..............................................................................$200.00..................... $_______ (All Applicants-First time and renewing.) 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