Submit Certificate of Free Sale - Enterprise Florida

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I am requesting a

Is your business subject to inspection by the Florida Department of Agriculture and Consumer Services?

YesNo

VARIABLES

Certificate Cost

Certificate Cost Summary Format

Company Prefill

Email Prefill

Hidden Field Prefill

COMPANY AND PERSONAL INFORMATION

First Name

Last Name

Email

Phone Number

Company

EIN Number

Address

City

State

County

Zip/Postal Code

Do you require a DBA name to appear on your certificate in place of the company name listed above?

YesNo

D/B/A (Business Name if different from above)

Food Entity Number

Is your Firm Location address different from your company address listed above?

YesNo

Firm Location Address

Firm Location City

Firm Loc State

Firm Location Zip

Do you require the Firm Location address to appear on your certificate in place of the company address listed above?

YesNo

Which best describes your company?

GMP Questions

Licensed by

Licensed #

DESTINATION INFORMATION

Name of Company Receiving

Country

Address

City

State/Province

Zip/Postal Code

SHIPMENT INFORMATION

Do you have more than 25 items to list on the certificate?

YesNo

List the items as they should appear on the certificate

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	Product/Description
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If you have more than 25 products to list on a certificate, please upload the file here. We will include it as part of the Certificate of Free Sale.

The file must be in PDF format only.

Please upload your list of products here

Please upload your Certificate of Sanitation if you would like it included with the Certificate of Free Sale

Value of Shipment

ADDITIONAL INFORMATION

Additional Comments

Please do not list products here as they will not appear on the certificate

For an additional certificate of authority or Apostille, you must request this directly from the Secretary of State Office. Please click here for more information.

The undersigned declares that the goods described herein are freely sold, without restriction, in the state of Florida and the United States of America.

In order for Enterprise Florida, Inc. to process your Certificate of Free Sale request, you must agree to the terms above and check the box below.

I AGREE

ADDITIONAL ORDER DETAILS

Do you need the certificate notarized?

YesNo

There will be an additional $10 charge for notary service.

Do you need the certificate in Spanish?

YesNo

If you select Yes, you will receive a certificate in Spanish. You will not receive an additional English version.

Please select the certificate delivery method

There will be an additional $10.00 for the Paper delivery method.

A digital copy will be sent to you in addition to the paper copy if the Paper method is selected.

SHIPPING INFORMATION

Send the Export Certificate to a different address than indicated above?

YesNo

Company

Name

Address

City

State

Zip/Postal Code

Please select a carrier

Please upload your shipping label below. You will not need to provide a label when being shipped by USPS unless you would like it expedited.

Upload your shipping label here

BILLING AND PAYMENT INFORMATION

Total Certificate Cost

SUMMARY

Certificate Language Requested

Certificate Type

Certificate Cost

Delivery Type

Delivery Cost

Your total certificate cost

All sales are final. No refunds will be issued.

How would you like to pay?

Credit CardPayPal

Upon pressing Submit, you will be directed to PayPal to complete payment for your order.

Is your billing address same as above?

YesNo

First Name

Last Name

Company Name

Address

City

State

Zip/Postal Code

Billing Address

First Name

Last Name

Company Name

Address

City

BillingState

Zip/Postal Code

Credit Card Number

CVV

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Authnet_Hidden_Fields

Industries

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