Plant Milk Graders’ (PMG) Training Enrolment Form

Plant Milk Graders’ Certificates are issued by the Ontario Ministry of Agriculture, Food and Agribusiness (OMAFA) to successful candidates. As such, individuals hold the certificate as opposed to the company they are employed with. ODC collects home/personal information in order to be able to contact individuals directly rather than the company. ODC will only contact individuals at home addresses to deal with education programs and PMG renewal information.

Home Address Information:

Name(Required)

Mr./Ms. First Last

Your Address(Required)

Street Address Address Line 2 City Province Postal Code

Your Phone(Required)

Your Email(Required)

Company Name(Required)

Company Address(Required)

City Province Postal Code

Name of Supervisor(Required)

Mr./Ms. First Last

Supervisor Phone(Required)

Supervisor Email(Required)

Signature(Required)

PROGRAM FEE*(S):

Fees(Required)

Employees of Member Companies: $650.00

Employees of Non-Member Companies: $850.00

ENROLLMENT:

Program/Enrollment Fee:

Subtotal

+13% HST (#107797508RT):

HST:

Total Amount Paid: *Non Refundable:

Total:

PAYMENT:

VISA/MASTERCARD #(Required)

Cardholder Name(Required)

Month(Required)

Year(Required)

CVV#(Required)

Comments

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