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Contact Name (required)

Contact Email (required)

Contact Phone Number (required)

Name of Organization (required)

Organization Website (required) (include http://)

Requesting logo for use in relation to (required)
 Label for Food Only Brochures Print Ads Website Other
(NOTE: If you select Label for Food Only, then you must attach* the
Ag Ingredient List PDF File - opens in new window)
*If Label for Food Only, upload the filled in Ag Ingredient File List:

Is this a renewal request? (required)

Please provide a brief description and a short background on the organization (required)

Is your organization headquartered in Michigan? (required)

Do you market to businesses, consumers or both? (required)

What will the logo be used for? (required)

Your Message

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