University of KentuckyCollege of Agriculture
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Registration/Product Listing Information

To help us to better serve your organization, please provide the following information. This information will allow us to contact the appropiate person in your organization should a specific need arise.


Basic Information

Enter Company Name:

Enter Email Address:

Regulatory Contact

Company Name:

C/O Company:

Contact Name:

Mailing Address:

Physical Address:

City:

State:

Zip Code:

Phone:

Fax:

Laboratory Contact
Click if same as above.

Company Name:

C/O Company:

Contact Name:

Mailing Address:

Physical Address:

City:

State:

Zip Code:

Phone:

Fax:

Inspection Fee Contact (Annual Products and Tonnage)
Click if same as Regulatory Contact or
Click if same as Laboratory Contact.

Company Name:

C/O Company:

Contact Name:

Mailing Address:

Physical Address:

City:

State:

Zip Code:

Phone:

Fax: