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PLEASE COMPLETE THIS SECTION AND RETURN TO THE ADDRESS SHOWN BELOW:

Membership Declaration Form

PLEASE READ THIS DECLARATION FORM VERY CAREFULLY. IF THERE ARE ANY POINTS YOU

DO NOT UNDERSTAND PLEASE CALL THE SCHEME HOTLINE ON 0845 491 8787 FOR CLARIFICATION.

Only beef and lamb produced, transported and slaughtered through a supply chain wholly covered by

approved, independently audited schemes accredited to EN 45011 standards and registered with AHDB

Beef & Lamb, are eligible to carry the Quality Standard Mark.

The Quality Standard Mark highlights where your beef and lamb has been born, raised and slaughtered.

For example, beef or lamb indicating English origin with the St George’s flag must have been born, raised

and slaughtered in England.

If an animal cannot meet all the criteria, for example, if it is born in Scotland or Wales, it will be able to

carry the Quality Standard Mark, but indicate British origin with the Union flag.

The Scheme is open to businesses in any EU member state and the origin rules will be amended appropriately for those outside the UK.

Declaration

I declare that I have read and understood the Scheme standards and specifications and will apply them in relation to all beef and lamb to which the Quality Standard Mark is

applied by me or on my behalf or for which I am otherwise responsible, including compliance with all applicable legal requirements, including voluntary beef labelling where

applicable (use of the English and British version is covered by the EU Beef Labelling Scheme).

I am aware that AHDB Beef & Lamb has a responsibility to audit, without notice, beef and lamb bearing the Quality Standard Mark to ensure it complies with scheme

requirements and I hereby authorise access to all relevant premises and records at all reasonable times for those or related purposes by any person authorised to carry out such

an audit by AHDB Beef & Lamb.

I understand that AHDB Beef & Lamb has the right to withdraw permission to use the Quality Standard Mark if I or any business for which I hereby accept responsibility, are

found not to be complying fully with Scheme requirements, including any refusal to permit an AHDB Beef & Lamb-authorised audit to take place at a reasonable time.

If I fail to comply with the Scheme Standards, I agree to notify AHDB Beef & Lamb and return or destroy at AHDB Beef & Lamb’s sole discretion all materials relating to the

Quality Standard Mark or to which that Mark has been applied at my or the relevant business’ sole expense. I acknowledge that AHDB Beef & Lamb will not be liable for any

costs, damages or other losses or pecuniary disadvantage that may result from such withdrawal of permission.

I also understand that proper use of this Quality Standard Mark at any stage in the supply chain does not affect my liability under any legislation.

I hereby apply for permission to authorise the application of the Quality Standard Mark (the Mark) to:

Tick as appropriate

BEEF:

English British Other (specify)

LAMB:

English British Other (specify)

Name:

Position:

Company Name:

Address:

Postcode:

Telephone No:

Fax No:

Email:

INDUSTRY SECTOR

Retail

Abattoir

*

Processor

*

Wholesaler

*

Retailer Cash & Carry Butcher

Tick as appropriate

Other (please specify)

Foodservice

Catering Wholesaler

*

Catering Manufacturer

*

Catering Butcher

*

Contract Caterer Foodservice Group Restaurant Pub

Other (please specify)

*Please indicate which assurance scheme you are registered with and your registration number

Please give the name of your assured supplier

Beef

Lamb

Please indicate how you heard about the Quality Standard Mark scheme Supplier Website Press

Other (please specify)

Signature

Date

We would like to pass on your details to prospective customers enabling you to benefit from the Quality Standard Mark scheme, including the publishing of your business name,

address and telephone number, fax number and email address on the consumer website

www.simplybeefandlamb.co.uk

and the trade website

www.qsmbeefandlamb.co.uk

If you are willing for AHDB Beef & Lamb to provide your information to prospective customers, as indicated above, please tick this box

If you require more than one Declaration Form to allow other premises to join the Scheme, please indicate the number you require

Please tick if you would like your name included on a mailing list to receive further information from AHDB Beef & Lamb

This list will not be made available to other companies.

The scheme documentation and stockist materials will be despatched within 28 working days from receipt of signed Declaration Form.

Full scheme details are available on our website:

www.qsmbeefandlamb.co.uk

Return the form to:

The Quality Standard Mark Scheme,

PO Box 258,

Wilmslow

SK9 5YH.

FOR INTERNAL

USE ONLY

Date

Received:

Approved by

on behalf of

AHDB Beef & Lamb