Kauai Grown program application

Thank you for your interest in the Kauai Grown Program. Please read the enclosed information. Once we have received your application, we will contact you to schedule a Farm Visit to verify origin of products. Mahalo!

Benefits of Kauai Grown Participation:

Use of Kauai Grown logo in your materials
Kauai Grown stickers (for product vendors) or electronic files for your own labels
Kauai Grown promotional material at point of purchase (banner, certificate, custom)
Individual page on Kauaigrown.org web directory
listing in Kauai Grown brochure directory
support from advertising and pr promotions
participation in Kauai Grown events

Cost of Participation:

$50 per product line
$75 per retail or restaurant location

Please make checks payable to Kauai County Farm Bureau, Box 3895, Lihue, HI 96766

FIRST: Please download and review the complete application form PDF (6 pages). Make sure you have ALL information ready before filling out the online application. Download Application PDF

Photos You may include up to 5 photos to be published with your listing. Horizontal images work best, although vertical images are also accepted.
Please do not upload images larger than 3000 pixels in width or height, or larger than 1 MB in file size.

Photo 1:
Photo 2:
Photo 3:
Photo 4:
Photo 5:

Applicant Categories Please check ALL the categories that you are applying under. You may qualify under more than one section. (i.e. a farmer who raises produce and also produces a value added product.)

	Farmer
	Value added product manufacturer
	Retailer
	Restaurant / Chef

Please note that a farm or business visit is required to complete the application process.

Note: If you are uploading photos, please be patient while the next page loads as the system takes time to process them.

Your Name:
Business Name:
Mailing Address:	City: State: Zip:
Physical Address:	City: State: Zip:
Best Way to Reach You:	Phone Cell Fax Email
Business Phone:	Cell Phone: Fax:
Email:
Website:
Type of Business:	Single Ownership Partnership Corporation
	Do you carry product liability insurance in the amount of $1 Million or more? Yes No Proof of liability insurance will be required to participate in the program.

Company Description:	Please provide a short description of your company and products for the Kauai Grown directory (for publication):
Where to buy:	Island Area(s) where your products are available for the public to purchase: South Shore West Side North Shore East Side Central (Lihue)

	Kauai Grown Branding Program Administered by Kauai County Farm Bureau With support from County of Kauai
	Mailing address: Kauai County Farm Bureau Attn: Kauai Grown Program Box 3895, Lihue, HI 96766	Phone contact: 808-337-9944 www.kauaigrown.org