HALES CORNERS VILLAGE MARKET APPLICATION

HALES CORNERS VILLAGE MARKET APPLICATION
Name*
Date: *

MonthDayYear
Date
Phone number*
Mailing Address*
Name Of Business*
Email/Business contact info:*
Primary Business Contact info*
Business Mailing Address*
Business Social Media
What are you going to be selling? (Explain in detail.)*
As required, vendors must have a current and appropriate license from the Hales Corners Health Department, WDATCP or another approved agency.*

I do have a current license.I do NOT have a current license.
Vendors selling non-food items may need a Wisconsin seller's permit. (Please see Wisconsin Department of Revenue website or call 608.266.2776 for more info.)*

I agree that I will have a sellers permit if needed
All vendors are subject to The Hales Corners Village Market committee for approval.*

I understand that I must be approved by HCVMC.
All vendors are required to supply The Hales Corners Village Market with a certificate of liability insurance.*

I agree to provide a certificate of liability insurance listing HCVM.
Do you have an organic certification?*

Yes, I do have an organic certification.No, I do not have an organic certification.
Is there any more information that you want to add?
Signature Of Applicant

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