Toll Processing Application Company Name(Required)Mailing Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Shipping Address (if different) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Contact Name(Required) First Last Email(Required) Phone(Required)Accounts Payable Contact Name(Required) First Last Email(Required) Phone(Required)Incoming Product DetailsProduct Name:(Required)Product Type:(Required)(raw fruit, puree, NFC juice, concentrate)Product Status:(Required)(fresh, frozen, IQF)Country of Origin:(Required)Estimated or actual Brix:(Required)Additional traits:(Required)(Kosher, organic)If product requires rework, please describe issue to be resolved:Specification sheet(Required)Max. file size: 256 MB. Volume requested to process(Required)Packaging Type(Required) Drum Tote Cardboard Bin Other Other Packaging description:(Required)Include dimensions, net and gross weights, thickness if applicable, and maximum stackable heightInbound shipment net product weight:(Required)Containers per inbound shipment:(Required)Empty Container Handling(Required) Empty containers can be disposed of after use Empty containers will be shipped from Growers' facility by customer I would like Growers to assist with shipment of empty containers Finished Product DetailsProduct Name(Required)Product Type:(Required)(raw fruit, puree, NFC juice, concentrate)Product Status:(Required)(refrigerated, frozen) Brix(Required)Turbidity:(Required)(NTU)Additional traits:(Required)(Kosher, organic)Specification sheet(Required)Max. file size: 256 MB. Would you like to reserve your low-Brix line rinsings?(Required) Yes No Finished Product Packaging(Required) 50 gallon drum single-banded 50 gallon drum double-banded N/A (Tanker) Customer’s repurposed container Other Finished Goods TestingGrowers’ Co-op provides results of basic in-house lab testing on finished goods, including color, Brix, pH, acidity, turbidity, and yeast and mold plate counts. Lab samples may be sent out for additional third-party testing upon request.Additional third-party testing required?(Required) No Yes Third party testing requestSample ShipmentsPrimary Contact:(name, phone, email)Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code No. samples (8-ounce) requested:Primary Contact:(name, phone, email)Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code No. samples (8-ounce) requested:Primary Contact:(name, phone, email)Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code No. samples (8-ounce) requested: