MIR Application & Contract "*" indicates required fields Step 1 of 2 50% CommentsThis field is for validation purposes and should be left unchanged.Application Contact Information:Please include all representatives with whom Envirocann, SameTeam, and affiliates may discuss your Material Input Approval. All changes must be submitted in writing. Business Name:*Address:* Street Address Address Line 2 City 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 State ZIP Code Primary Contact:* First Last Primary Contact Title*Phone:*Email:* Primary Marketing or Other Contact: First Last Primary Marketing or Other Contact Title:Website:InstagramFacebookLinkedInX (Twitter)Do you give permission for Envirocann, SameTeam, and affiliates to use images from your website and social media platform for marketing efforts? Yes No Has this business ever sought an MIR approval through another business or agency?* Yes No List year(s) of application(s)*Was your business granted a certification? Yes No If applicable - Include a copy of any notification of non-compliance issued to your business for certification; and a description of the actions taken to correct the noncompliance(s) noted in the notification of non-compliance, including evidence of such corrections.Max. file size: 256 MB. Approval is not guaranteed. List All Products:Add Product(s)*Add all the products to be considered for certification. Click the plus sign to add more products. Add RemoveMaterial Input Review client support includes listing on all associated websites, access to our organic client network, event participation support, and discounted SameTeam marketing support. Please select below your level(s) and attach or submit a payment, for your non-refundable annual Material Input Approval fees and routine inspection costs as agreed to with the Envirocann Representative and your option for working with SameTeam Consulting for marketing and networking services.Choose product options:*Choose how many product SKUs you would like to certify. 1 SKU 2-5 SKUs 6+ SKUs 1 SKU Options:*Choose one 1 YEAR - 1 SKU - $1,000 annually, inclusive of EnvirOganic Approval and marketing and networking support from SameTeam 2 YEAR - 1 SKU - $900 annually, inclusive of EnvirOganic Approval and marketing and networking support from SameTeam 3 YEAR - 1 SKU - $900 annually, inclusive of EnvirOganic Approval and marketing and networking support from SameTeam 2-5 SKU Options:*Choose one 1 YEAR - 2-5 SKUs - $900 annually, inclusive of EnvirOganic Approval and marketing and networking support from SameTeam 2 YEAR - 2-5 SKUs - $800 annually, inclusive of EnvirOganic Approval and marketing and networking support from SameTeam 3 YEAR - 2-5 SKUs - $700 annually, inclusive of EnvirOganic Approval and marketing and networking support from SameTeam 6+ SKU Options:*Choose one 1 YEAR - 6+ SKUs - $800 annually, inclusive of EnvirOganic Approval and marketing and networking support from SameTeam 2 YEAR - 6+ SKUs - $700 annually, inclusive of EnvirOganic Approval and marketing and networking support from SameTeam 3 YEAR - 6+ SKUs - $600 annually, inclusive of EnvirOganic Approval and marketing and networking support from SameTeam Total In applying for Material Input Approval through Envirocann, I agree to:*1. Submit to Envirocann and/or affiliates non-refundable annual Material Input Approval fee prior to receiving Material Input Approval. 2. Immediately notify Envirocann of any potential noncompliance with any regulations. 3.Immediately notify Envirocann of any change in processes that affect compliance as a business. Immediately cease all claims of Material Input Approval in the event approval is suspended, withdrawn, or revoked. 4. I understand that an audit may be performed on this operation and may require a laboratory analysis for pesticides, heavy metals, and chemical residues. In the event of contamination, at the levels that exceed what is allowed by Regulations, that Material Input Approval will be deemed ineligible to make any Material Input Approval claims provided by Envirocann. In the case that there has been intentional application of a substance that is not allowed, the producer will not be eligible to sell the product as Approved by Envirocann and must undergo the adverse action process described in Envirocann Client Guide. 5. I understand I am granted non-exclusive, non-transferable permission to use the logos provided by Envirocann ("Logos") solely for the purpose of marketing and promoting products or services that have been certified by Envirocann. The Client agrees to use the Logos in accordance with Envirocann's branding guidelines and standards. 6. In the event that the Client's annual Material Input Approval contract with Envirocann expires or is not renewed ("Lapse"), the Client shall cease all use of the Logos immediately upon the expiration of the contract term. The Client acknowledges that any continued use of the Logos after the expiration of the contract term constitutes a breach of this agreement. 7. The Client shall be provided with a 14-day grace period following the expiration of the contract term to renew their annual Material Input Approval contract with Envirocann ("Renewal Period"). During the Renewal Period, the Client may continue to use the Logos for marketing and promotional purposes. 8. If the Client continues to use the Logos on marketing materials after the expiration of the Renewal Period, the Client is deemed to have committed to renewing their annual Material Input Approval contract with Envirocann for a new contract term. The Client agrees to pay the applicable fees for the new contract term and any additional services provided by affiliates as outlined in this agreement. 9. I understand I am granted non-exclusive, non-transferable permission to use the Material Input Approval logos provided by Envirocann ("Logos") solely for the purpose of marketing and promoting products or services that have been approved by Envirocann. The Client agrees to use the Logos in accordance with Envirocann's branding guidelines and standards. 10. In the event that the Client's annual contract with Envirocann expires or is not renewed ("Lapse"), the Client shall cease all use of the Logos immediately upon the expiration of the contract term. The Client acknowledges that any continued use of the Logos after the expiration of the contract term constitutes a breach of this agreement. I agree to the policy.Signature*Your NameYour NameYour NameYour Name