Farmers Market Vendor Application

Farmers' Market Vendor Application
Farm/Business name*
Owner(s) name(s)*
Employee(s) who will work at the market, if other than owner(s)
Business phone number

Area CodePhone Number
Cell phone number

Area CodePhone Number
E-mail address
Preferred method of contact*

Business phoneCell phoneE-mail
Preferred time of contact

DaytimeEveningsWeekdaysWeekends
Website address
Mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Physical address of growing/business operations*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Additional address of growing/business operations

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reimbursement checks to be made payable to*
Preferred outdoor market participation*

Full SeasonHalf-SeasonBi-WeeklyWalk-in/Occassional
Market attendance comments
Do you currently carry product/business insurance?*

YesNo
Electric needed at market? (May require additional fee)*

NoYes
Have you previously sold at a farmers' market?*

NoYes
Please list other farmers' markets you participate in and/or your other direct marketing sales outlets (e.g. restaurants, CSAs, etc.)
For your produce, which of the following terms best describe your farming practices?*

conventionalcertified organiccertified naturally grownother
Comments on growing practices
Please check all vegetable offerings*

Asian vegetablesbeansbeetsbroccolibrussel sproutscabbagecarrotscauliflowercelerychardChinese cabbagecollardscorn (sweet)cucumbersedamameeggplantfennelgarlickalekohlrabileekslettucemushroomsokraonions, dryonions, greenparsnipspeaspeppers, hotpeppers, sweetpotatoespumpkinsradishesrhubarbrutabagashallotssnow peasspinachsquash, summersquash, wintersweet potatoestomatillostomatoesturnipsothernone
Please check all herb offerings*

basilchivescilantrodillmarjorammintoreganoparsleyrosemarysagethymeothernone
Please check all fruit offerings*

applesblackberriesblueberriescherriescranberriescurrantselderberriesgooseberriesgrapesmelonsnectarinespaw pawspeachespearsplumsraspberriesstrawberriesothernone
Please check all other offerings*

cheese/dairymeatpoultryeggshoneymaple syrupbaked goodsbulk grainsjams/jelliespastapicklessalsa/saucesother
Percentage of offerings grown/raised/produced within 100 miles of greater Cleveland*
Acknowledgement
*

Yes, I understand and acknowledge that the information I have submitted above is complete and accurate to the best of my knowledge.
*

Yes, I understand and acknowledge that this is an application only and that my submission does not constitute an acceptance into any farmers’ market listed or establish any relationship between myself or my business, employees, partners and assigns with Growhio or any farmers’ market or their agents or assigns.
*

Yes, I understand and acknowledge that my application will be reviewed and decisions made about my acceptance into or rejection from any farmers’ market are within the sole discretion of that market.
*

Yes, I understand and acknowledge that acceptance by any one farmers’ market does not guarantee my acceptance into any other or all other markets.
*

Yes, I understand and acknowledge that each farmers’ market has its own management and set of policies, procedures and fee structures and that for each market where I intend to vend, I will be required to sign an agreement to adhere to that market’s requirements as a condition of and prior to my acceptance into that market.
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Farmers' Market Vendor Application

Acknowledgement