Application Form to Supply Milk

Background details
Farm details
Other information

1. Background Details

Name

Address line 1

Address line 2

Address line 3

County

Eircode / Postcode

Mobile Number

Email Address

Milk Supply Number (if relevant)

Are you making this application under:

A new entrant to dairying

An additional unit

A family successor (>75% ownership transfer)

Other

2. Farm Details

Please provide the following information that is directly relevant to the application option you have selected on the previous page.

Farm Area in Hectares

Owned: hectares

Rented: hectares

Total:

Milking Platform Area in Hectares

Owned: hectares

Rented: hectares

Total:

Current Farm Enterprise(s)

Proposed System

Outdoor/Grazing

Indoor/Confined

Proposed Business Structure

Proposed Month & Year of Commencement

Proposed Cow Numbers

Year 1: cows

Year 2: cows

Year 3: cows

Year 4: cows

Year 5: cows

Proposed Volume Supply in Litres

Year 1: litres

Year 2: litres

Year 3: litres

Year 4: litres

Year 5: litres

3. Other Information

Do you have a Tirlán Agribusiness Account?

Yes

Are you a Tirlán Co-Op shareholder?

Yes

Are you interested in participating in the Tirlán Dairy Development Programme?

Yes

Application to Supply Milk to Tirlán

Farm Area in Hectares

Milking Platform Area in Hectares

Proposed Cow Numbers

Proposed Volume Supply in Litres

Application form submitted

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