Form Builder

Company Legal Name

Website

Please include the http:// or https://

Products

Please list all products you would like to certify at this time.

You will provide additional details for the products later.

Contact Full Name

Phone Number

Address Line 1

Address Line 2

City

State or Province

Postal Code

Country

How Did You Hear About Us?

Company Authorization

I, as a registered agent or legal representative of my company, seek permission to use the "Certified Ketogenic", "Ketogenic Approved", or "Ketogenic Friendly" trademarks, hereafter collectively referred to as "the logo", on the listed product(s). I affirm that one or more of my available, or soon to be available, products meet the certification criteria of the ketogenic diet as described on this website at the time of my application.

Application Fee

USD $200

Facility

IMPORTANT: Log In After You Submit Your Application To Submit Products

After you click Submit Application, please visit the Client Area to complete your product submissions (a link will be on the confirmation page).

Your temporary password is the postal code value you provided in your application.

You will also receive an email confirmation. Check your SPAM folder if you don't see a new email from us. Please add that email address to your contacts to make sure important messages reach you in the future.

Your application cannot proceed until we receive at least one product submission for each product listed in your application.