SMARTLOGGING CERTIFICATION

APPLICATION

1. CONTACT INFORMATION

Organization/Legal Name: / Date
Type of Legal Entity: / Jurisdiction of Organization:
Primary Contact: / Title:
Mailing Address:
City: / State: / Country:
Email Address: / Postal Code:
Telephone: / Fax:
Logging Contractor / Location / Equipment Type
(mechanical, ground, skyline, chainsaw felling, etc.) / Number of Employees
Total

2. LIST OF PROPOSED LOGGING CONTRACTORS

(Submit separate list of loggers for larger groups)

3. OPERATION BACKGROUND (Check all applicable boxes)

TYPE OF ORGANIZATION

/

General Information

Government Master Logger Program / Geographic Scope:
Other Master Logger Program / Total number of loggers in program/group/assoc.:
Logger/Forest Industry Assoc. / Number of loggers to be assessed SmartLogging:
Logging Company / Forest types:
Forest Products Company
Other

4. PLANNED CERTIFICATE SCOPE

a) FOREST PRODUCTS:

Sawlogs / Pulp logs
Firewood / Poles
Biomass / Chips
Other:

b) TIMBER SUPPLY

% timber procured from:

Private Forestland / %
Public Forestlands / %
Indigenous Forestlands / %
c) HARVEST LEVELS
What is the estimated annual volume harvested by the loggers being audited? / Mbf / M3 / Cords / Wt.

d) MAJOR SPECIES HARVESTED

e) FINANCIAL SUMMARY
What is the aggregate annual turnover of all logging contractors to be audited? / US$

Additional information:

______

Firma del representante autorizado Fecha

SmartLogging Application 1May12 (SL-07) page 3 of 3

- Application Contact Page -

Please use the following Rainforest Alliance Regional Office contact matrix for submitting your application based on the location of your Organization’s main office for the division applying for certification.

Region / Contact Details / Rainforest Alliance Regional Office / Partner Organization
Africa / / Africa Regional Office
Asia, Australia, New Zealand /
Pertokoan Griya Alamanda,
Blok No. 17
Jl. Kapten Cokorde Agung Tresna, Lingkungan Jayagiri, Kelurahan Dangin Puri Kelod, Kecamatan
Denpasar Timur, Bali, Indonesia
Tel (+62) 361/224-356
Fax (+62) 361/235-875 / Asia-Pacific Regional Office
Brazil / Contact Imaflora
Rua Chico Mendes 185, Caixa Postal 411
Piracicaba, Sao Paolo,
BRASIL 13400-390
Tel/Fax (+55) 19/3414-4015 / Imaflora
Canada / Box 1771, Chelsea, QC, Canada,
J9B 1A1
Tel (819) 827-8278
Fax (866) 438-1971 / Canada Regional Office
Central America, CARICOM/Caribbean / 8ª. Avenida 15-62, Zona 10
Guatemala City, GUATEMALA
Tel (+502) 2383 5757
Fax (+502) 2383 5788 / Mesoamerica Regional Office
Europe, Russia / Contact NEPCon / NEPCon
Mexico / Margarita Maza de Juárez 422, Col.
Centro Oaxaca, Oaxaca,
MÉXICO CP 68000
Tel/Fax +52 (951) 502-6473 / 502-6532 / 132-8567 / Mesoamerica Regional Office – Mexico
South America
(except Brazil) /
Calle Manual Ignacio Salvatierra 359
(2˚ Piso)
Santa Cruz, BOLIVIA
Tel +591 3 332-5042
Fax +591 3 332-7451 / South America Regional Office
United States of America /
801 Highway 3 North, Suite 200
Northfield, MN 55057
Tel (507) 663-1115
Fax (507) 663-7771 / US Regional Office

SmartLogging Application 1May12 (SL-07) page 3 of 3