202-3002 32nd Avenue, Vernon, BC V1T 2L7   ph: (250)260-4429   fax:(250)260-4436   office(a)certifiedorganic.bc.ca
City:  Prov:
Postal Code   Country:
CB Name: Cert #:
Date  Ordered:
PST Exemption
Option 1:
BCAC Farmer ID:
Expiry Date:
Option 2:
PST Number:
Option 3: Certificate of Exemption
Farmer exemption form: 0458FILL.pdf
Other enterprises exemption form: 0490FILL.pdf

The packaging materials below are only available to COABC Certified Organic members and are PST exempt for qualifying enterprises (see below).
Have you signed a new Consent to use Official Marks Declaration Form (revised July 2006)? Yes No   Are you Certified? Yes No
With which products will you be using the packaging materials?

Item Units Unit Price Quantity Discount Quantity Total
Stickers 1" round 1000 pc/roll 1 roll ${{roundData.priceSingle|number:2}} 10 rolls ${{roundData.priceQuantity|number:2}}
Stickers 1 1/4" square 1000 pc/roll 1 roll ${{squareData.priceSingle|number:2}} 10 rolls ${{squareData.priceQuantity|number:2}}
Twist Ties 10" (15,000 per case) ** 1000 pc 1 Bundle ${{tiesData.priceSingle|number:2}} Full Case ${{tiesData.priceQuantity|number:2}}


Promo Materials: available to everyone Member $ Non-member $      
Bucket Hats ** M   L ${{hatsData.priceMember|number:2}} ${{hatsData.priceNonMember|number:2}} PST taxable
Ball Caps ${{capsData.priceMember|number:2}} ${{capsData.priceNonMember|number:2}} PST taxable
Natural T-shirts (Plain)
**S  XXL
${{ntshirtData.priceMember|number:2}} ${{ntshirtData.priceNonMember|number:2}} PST taxable
NEW!! COABC T-shirt
Designed by Brian MacIsaac
Mens: S M L
Ladies: S M L
${{bmshirtData.priceMember|number:2}} ${{bmshirtData.priceNonMember|number:2}} PST taxable
Organic Tree Fruit Management ${{otfmData.priceMember|number:2}} ${{otfmData.priceNonMember|number:2}} No PST
** Limited quantities available - please contact the COABC office for availability Subtotal:
Shipping by: Shipping:
HST # 887782431 RT 0001   HST {{taxes.pctHST*100|number:0}}%:
GST # 887782431 RT 0001     GST {{taxes.pctGST*100|number:0}}%:
        PST {{taxes.pctPST*100|number:0}}%:
form-a   Payment by: Order Total: