Payment Form
Your Name:
*
First Name
Last Name
Business Name:
Your E-mail:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select Your Space Size. For the Quantity, Select the Number of Saturdays for the Year you will be Attending our Market.
*
prev
next
( X )
(1) 10x10 space
$
25.00
This is for (1) 10x10 area of our Farmers Market
Number of Saturdays
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
(2) 10x10 space
$
40.00
This is for (2) of our 10x10 spaces, side by side of our Farmers Market.
Number of Saturdays
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
EMAIL
FMEVENTS@LIFERECAPTURED.ORG
OR CALL (321) 373-4023 EXT. 711, FOR ADDITIONAL QUESTIONS.
Submit
Should be Empty: