Kosher Certification Service
Rabbi Eli Frankel
Rabbinic Administrator
Rabbi Dr. Michael Schick
Kashruth Consultant

401 North Laurel Avenue  * Los Angeles, California 90048
TEL: (323) 782-1433  * Fax: (323) 651-0660
Email: KCS@easy-access.com

The Kosher Certification Service is available for Kashruth Endorsements, Supervision, and Certification Permitting the use of the Kosher Certification Service seal nation-wide, as well as internationally.

Please print out and FAX the application form below to (323) 651-0660 or Email the completed form information to KCS@easy-access.com.


Kosher Certification Service
Rabbi Eli Frankel
Rabbinic Administrator
Rabbi Dr. Michael Schick
Kashruth Consultant

APPLICATION FOR KASHRUTH ENDORSEMENT, SUPERVISION,
CERTIFICATION PERMITTING USE OF THE SEAL

Firm Applying: __________________________________________________

Contact Person #1: ______________________________________________
Title: _________________________________________________________
Contact Person #2: ______________________________________________
Title: _________________________________________________________

Main Office:
Mailing Address: _______________________________________________
City: ________________ State: __________ Zip code: _____________

Physical Address: ______________________________________________
City: ________________ State: __________ Zip code: _____________

Telephone #1: _______________ Telephone #2: _____________________
Fax #: ______________________ Email: ____________________________

Manufacturer of Product (if other than applicant): ______________
_________________________________________________________________

Plant Address: __________________________________________________
City: ________________ State: __________ Zip code: _____________
Telephone #: _______________ Fax #: ____________________________
(If there are any additional manufacturers, please list separately)

Nature of Product(s) to be Certified: ___________________________
_________________________________________________________________

Nature of Other Products Produced at Plant(s): __________________
_________________________________________________________________

Product to be certified is produced:
Year Round: ______________
Seasonally: from ________ to ________ from ________ to _________

Certification Requested for:
Retail Customer: __________________
Industrial: _______________________
Institutional: ____________________

Have any of your products ever been certified kosher? Yes ________ No ________
If yes, please specify which agency: ____________________________


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401 North Laurel Avenue  * Los Angeles, California 90048
TEL: (323) 782-1433  * Fax: (323) 651-0660
Email: KCS@easy-access.com

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The material found herein is for informational purposes only and cannot be reproduced, modified, or made use of by other parties without the express written consent of the Kosher Certification Service, except for informational purposes and use of the Application Form only. Use of the Kosher Certification Service Symbol of Certification is Against the Law without written permission and contractual arrangements with the Kosher Certification Service.

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Copyright 1997 - Last Updated: March 26, 1997