Clemson University, South Carolina



Business Name: FORMTEXT ?????Certification #: FORMTEXT ?????County: FORMTEXT ?????State: FORMTEXT ?????Single Origin CoffeeComplete the table below with information about each single origin coffee marketed with an organic claim. Up to 4 different single origin coffees may be listed per form.Single Origin CoffeeList the coffee ingredient and all marketing names for each productSupplier NameList the full business name that matches the organic certificate for the supplierWhat claim is on the label?Office Use FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX 100% Organic* FORMCHECKBOX Organic FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX 100% Organic* FORMCHECKBOX Organic FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX 100% Organic* FORMCHECKBOX Organic FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX 100% Organic* FORMCHECKBOX OrganicCoffee BlendsUse the tables below to provide information about organic coffee blends. Include all marketing claims for each formulation. 2 blends may be listed per form.Blend Name(s): FORMTEXT ?????Blend Name(s): FORMTEXT ?????What claim is on the label? FORMCHECKBOX 100% Organic* FORMCHECKBOX OrganicWhat claim is on the label? FORMCHECKBOX 100% Organic* FORMCHECKBOX OrganicSingle Origin IngredientList all possible substitutionsSupplier and Certifier NameList the full business name that matches the organic certificate for the supplier% of ingredient in blendOffice UseSingle Origin IngredientList all possible substitutionsSupplier and Certifier NameList the full business name that matches the organic certificate for the supplier% of ingredient in blendOffice Use FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ??? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ??? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ??? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ??? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ??? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ??? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ??? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ??? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ??? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ???*Decaf Coffees do not usually qualify for the 100% Organic claim ................
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