HGBA Member *

You can use your current location or search for it on Google Maps. If the orchard has no physical address, please enter the GPS coordinates (e.g., 45.3000, -122.9700).

Orchard Name Acreage Variety Planting Year
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Do Any of Your Orchards Require an Orchard Payment Split?

Minimum price paid and payment date will be per Willamette Hazelnut Inc. Company’s published policy.

Firma de Willamette Hazelnut Inc. Buyer: Willamette Hazelnut Inc.
Grower's Signature

CASH ADVANCE PROGRAM

Will You Participate in the Cash Advance Program?

Must be equal to or less than acreage committed on this agreement

ADDITIONAL ORCHARDS (if needed)

Orchard Name Acreage Variety Planting Year

ORCHARD SPLIT INFORMATION

By completing this section, I understand that my orchards recorded below will be split with a third-party based on the percentage I assign. The third-party indicated will be paid directly by Willamette Hazelnut Inc. in accordance with the Company’s published policy.

SPLIT #1
SPLIT #2
SPLIT #3
SPLIT #4