MAN-ORB Official Referendum Ballot Mango Promotion, Research, an

FORM APPROVED OMB NO. 0581-0093
United States Department of Agriculture Agricultural Marketing Service OFFICIAL REFERENDUM BALLOT Mango Promotion, Research, and Information Order		I. ELIGIBILITY Please check where applicable. _______ I am currently a FIRST HANDLER or an IMPORTER of fresh mangos and I handled or imported 500,000 or more pounds of fresh mangos between January 1, 20XX and December 31, 20XX. ______ I am currently an IMPORTER of frozen mangos and I imported 200,000 pounds or more of frozen mangos between January 1, 20XX and December 31, 20XX.
To be counted, completed ballots must be received by the U.S. Department of Agriculture on Month xx, 20XX and before ____ p.m. Eastern Time. NOTE: Only one vote will be counted for each eligible first handler and importer of fresh and frozen mangos. Incomplete ballots may be INVALID and may not be counted in the referendum.		II. VOTE Instructions: Mark one box only. Do you favor the continuance of [amendment to] the Mango Promotion, Research, and Information Order? YES  NO 
		III. CERTIFICATION AND SIGNATURE ALL BALLOTS MUST BE SIGNED BELOW IN ORDER TO BE COUNTED. I CERTIFY that the information contained on this ballot is true, complete, and correct to the best of my knowledge and belief, and is made in good faith. If this ballot is being cast on behalf of any group of individuals, partnership, corporation, or other business entity engaged in the handling or importation of mangos, I also CERTIFY that I have the authority to cast this ballot and will submit evidence thereof if so requested by the Referendum Agent. X ____________________________________ ______________________ SIGNATURE DATE _______________________________________ (______)_________-_________ COMPANY NAME BUSINESS TELEPHONE NUMBER
		IV. MAILING Return ballot in the enclosed, postage-paid envelope.

MAN-ORB Expiration Date: May 31, 2021

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MAN-ORB Expiration Date: May 31, 2021