Certified Paleo ® Application

Research shows that third-party certification is the most effective method for premium brands to distinguish their products, establish brand credibility, eliminate consumer hesitation, and drive sales. Congratulations on taking the first step towards building trust and boosting sales for your brand with the Paleo Certification from the Paleo Foundation.

Certified Paleo ® Application

Congratulations on taking your first active step towards increasing brand trust and sales with Paleo Certification from the Paleo Foundation. Studies suggest that third-party certification is the most impactful way high-quality brands can differentiate their products, increase brand trust, reduce consumer decision friction, and increase sales.

Paleo Certification Application
Company Name

(Company Name) seeks permission to use the “Certified Paleo” Trademark, hereinafter referred to as the logo, on the attached list of product(s).
Name
Title
Signature
Date
MM slash DD slash YYYY
*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Website URL
Email
Twitter @
Instagram @
Facebook /
How did you hear about us?
Referred by: (Name and Contact info)
Information submitted for certification purposes will be kept in strict confidentiality.
Products Being submitted for Paleo Certification
Product Name

Please use one row per supplier. Use + sign to add more rows.

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product for Paleo Certification?*
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product for Paleo Certification?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product for Paleo Certification?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product for Paleo Certification?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product for Paleo Certification?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product for Paleo Certification?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product for Paleo Certification?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product for Paleo Certification?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Do you want to submit another product?
- Yes
- No
Title

Ingredients	Supplier	Supplier email / phone

Extra Notes:
Processing Methods Information regarding processing methods and location must be detailed. List any cleaning methods for shared machinery with grains, legumes, and dairy. Note: Use of shared machinery does not automatically disqualify products from the Paleo Certification Program.
Processing Methods

Information regarding processing methods and location must be detailed. List any cleaning methods for shared machinery with grains, legumes, and dairy. Note: Use of shared machinery does not automatically disqualify products from the Paleo Certification Program.
UPC Codes

UPC Codes for Products meeting Paleo Certification Standards are shared with Interested parties such as Retailers and Industry Analysts once the Certification Agreement is completed.

Product Name	Product Category	UPC Code

Licensing Options
Licensing fees are assessed by companies’ gross annual revenues.
CHOOSE 3, 2, OR 1 YEAR LICENSING OPTION Save time and money with a 3-year Paleo Certified Licensing Option at a 20% discount, or a 2-year Licensing Option at a 10% discount.*

CHOOSE 3, 2, OR 1 YEAR LICENSING OPTION
Save time and money with a 3-year Paleo Certified Licensing Option at a 20% discount, or a 2-year Licensing Option at a 10% discount.
- 3 Year
- 2 Year
- 1 Year
- Fee Band
- I
- II
- III
- IV
- V
- VI
- VII
- VIII
- IX
- X
- XI
- XII
- XIII
- XIV
- Annual Revenues
- Up to $100,000
- Up to $500,000
- Up to $1,000,000
- Up to $5,000,000
- Up to $10,000,000
- More than $10,000,000
- More than $20,000,000
- More than $50,000,000
- More than $75,000,000
- More than $100,000,000
- More than $200,000,000
- More than $500,000,000
- More than $750,000,000
- More than $1 Billion
- Annual Fee
- $3,000
- $4,000
- $5,000
- $6,000
- $7,000
- $8,000
- $9,000
- $10,000
- $15,000
- $20,000
- $25,000
- $30,000
- $35,000
- $40,000
1. Please indicate your Fee Band:*
- I
- II
- III
- IV
- V
- VI
- VII
- VIII
- IX
- X
- XI
- XII
- XIII
- XIV
Save time and 10% with a 2-year Licensing Option
- Fee Band
- I
- II
- III
- IV
- V
- VI
- VII
- VIII
- IX
- X
- XI
- XII
- XIII
- XIV
- Annual Revenues
- Up to $100,000
- Up to $500,000
- Up to $1,000,000
- Up to $5,000,000
- Up to $10,000,000
- More than $10,000,000
- More than $20,000,000
- More than $50,000,000
- More than $75,000,000
- More than $100,000,000
- More than $200,000,000
- More than $500,000,000
- More than $750,000,000
- More than $1 Billion
- Annual Fee
- $5,400
- $7,200
- $9,000
- $10,800
- $12,600
- $14,400
- $16,200
- $18,000
- $27,000
- $36,000
- $45,000
- $54,000
- $63,000
- $72,000
1. Please indicate your Fee Band:*
- I (save $600.00)
- II (save $800.00)
- III (save $1,000.00)
- IV (save $1,200.00)
- V (save $1,400.00)
- VI (save $1,600.00)
- VII (save $1,800.00)
- VIII (save $2,000.00)
- IX (save $3,000.00)
- X (save $4,000.00)
- XI (save $5,000.00)
- XII (save $6,000.00)
- XIII (save $7,000.00)
- XIV (save $8,000.00)
Save time and 20% with a 3 year Licensing Option
- Fee Band
- I
- II
- III
- IV
- V
- VI
- VII
- VIII
- IX
- X
- XI
- XII
- XIII
- XIV
- Annual Revenues
- Up to $100,000
- Up to $500,000
- Up to $1,000,000
- Up to $5,000,000
- Up to $10,000,000
- More than $10,000,000
- More than $20,000,000
- More than $50,000,000
- More than $75,000,000
- More than $100,000,000
- More than $200,000,000
- More than $500,000,000
- More than $750,000,000
- More than $1 Billion
- Annual Fee
- $7,200
- $9,600
- $12,000
- $14,400
- $16,800
- $19,200
- $21,600
- $24,000
- $36,000
- $48,000
- $60,000
- $72,000
- $84,000
- $96,000
1. Please indicate your Fee Band:*
- I (save $1,800)
- II (save $2,400)
- III (save $3,000)
- IV (save $3,600)
- V (save $4,200)
- VI (save $4,800)
- VII (save $5,400)
- VIII (save $6,000)
- IX (save $9,000)
- X (save $12,000)
- XI (save $15,000)
- XII (save $18,000)
- XIII (save $21,000)
- XIV (save $24,000)
Calculating License Options
Base Licensing Fee:
1. Annual/ 2 Year/ 3 Year Fee Band Total:
Price: $0.00
Certified Paleo Application
Rush Orders:

There is a $1000.00 dollar rush fee for companies wishing to have their products rushed through the certification process within 10 business days and a $2,000 dollar rush fee for companies with 2 business day rush orders. 2 business day rush is not available to companies that submit more than 5 products to be reviewed at once. The rush fee does not guarantee that all applications can be rushed through as the process depends on the company and supplier’s ability to supply required information in a timely manner. A refund of the rush fee will be issued if the process cannot be rushed for the selected period.
2. 10 Business Day Rush Request (additional $1000.00)
- YES
- NO
3. 2-Day Rush (additional $2,000.00)
- YES
- NO
More Than 10 Products:

Up to 10 products are included in the standard Paleo Certification, each additional product is $50.00.
TOTAL:
$0.00
NOTE: Signature Required Below
Please allow approximately 6-8 weeks for the certification process to be completed. If you have a question about the status of your application, please send an email to info@paleofoundation.org

Submitting this Paleo Certification Application does not grant authorization for the use of the logo until the application is approved. Unauthorized use of the Certified Paleo logo is a violation of federal Trademark Laws.
*
- I agree to the above statement. All information in this Paleo Certification application is accurate as of the date submitted.
*
- I agree to Paleo Foundation Terms & Conditions and Privacy Policy.
Applicant Signature
Name of Company
Date
MM slash DD slash YYYY
Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Save and Continue Later

Certified Paleo Application

Certified Paleo ® Application

Certified Paleo ® Application

Paleo Certification Application

Products Being submitted for Paleo Certification

Processing Methods

UPC Codes

Licensing Options

CHOOSE 3, 2, OR 1 YEAR LICENSING OPTION

Save time and 10% with a 2-year Licensing Option

Save time and 20% with a 3 year Licensing Option

Calculating License Options

Base Licensing Fee:

Rush Orders:

More Than 10 Products:

TOTAL:

NOTE: Signature Required Below