REDISCOVERED WOOD CERTIFICATION

APPLICATION

CONTACT INFORMATION

Company Legal Name: / dba*:
Date: / Jurisdiction of Company:
Type of Legal Entity:
Primary Contact: / Title:
Mailing Address:
City: / State/Prov: / Country:
Email(s): / Post. Code:
Tel: / Fax: / Website:

* ”doing business as” – for contracting purposes please ensure that your company’s full legal name is listed above.

OPERATION BACKGROUND

Is your company:
(check applicable box) / Buying recovered wood from a supplier
Involved in the recovery process

REDISCOVERED WOOD CATEGORY (check all applicable boxes)

Wood by-products from secondary manufacturers
Trees from (Sub)urban areas (non-forest areas) that are dead, fallen, diseased, or a nuisance
Orchard trees that are unproductive and cut for replacement
Wood recovered from landfills
Previously abandoned wood recovered from water sources including logs and trees recovered from rivers, lakes, reservoirs as well as driftwood from water surfaces and shores

FACILITIES

Total number of company facilities:

Number of facilities to be included in the certificate:

Facility name & type (i.e., sawmill, furniture shop) Location: Production capacity:# Employees:

SOURCES OF REDISCOVERED WOOD

Annual

Inputs of recovered wood: (logs, lumber, chips, panels, etc.) Species: Quantities: (tons, MMbf, ft2, m3)

Company name of each supplier of inputs of recovered wood: Location: (state, province, country)

Origin/site of recovered wood source: (city, state/province, country)

REDISCOVERED WOOD OUTPUTS

Annual

Rediscovered Wood products that YOU WILL SELL: Species: (if applicable)Quantities: (tons, MMbf, ft2, m3)

ADDITIONAL INFORMATION

Do you currently have possession of recovered wood?YES NO

Will you be producing percentage-based products (not 100% Rediscovered Wood)?YES NO

Is there a specific date when you want to have your certification completed by? / Date:
What are your average gross annual sales for WOOD products? / $

______

Signature of authorized representativeDate

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- 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

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