FARMERS AND ARTISANS MARKET OF LOCKHART

FARMERS AND ARTISANS MARKET OF LOCKHART

VENDOR APPLICATION AND AGREEMENT
YOUR NAME First Name* Last Name*
NAME OF BUSINESS/ ENTITY APPLYING FOR MARKET*
PHYSICAL ADDRESS Street Address* Address Line 2* City* State* Zip*
MAILING ADDRESS (If different from physical) Street Address Address Line 2 City State Zip
EMAIL Email address*
WEBSITE Type website
EMERGENCY CONTACT NAME
  First Name*   Last Name*
RELATIONSHIP   *
PHONE   Area Code*   Phone Number*
VENDOR CATEGORY*

Agricultural ProducerValue AddedPrepared FoodArtisanNonprofit/ Community Organization
IF YOU CHECK MORE THAN ONE CATEGORY, PROVIDE PERCENTAGE OF PRODUCTS IN EACH: (ex.: 90% Agriculture, 10% Value Added
LIST ALL PRODUCTS TO BE SOLD/MARKETED:*
APPLICATION MUST INCLUDE COPIES OF ALL RELEVENT PERMITS AND CERTIFICATIONS (send to farmersartisansmarketlockhart@gmail.com):*

Food Handlers License (where applicable)Certifications/ Licenses for Agricultural Products(where applicable)Copy of Insurance if you sell a consumable productNot applicable
IF YOU USE SOCIAL MEDIA, PROVIDE HANDLES FOR EACH PLATFORM;
FACEBOOKFACEBOOK
INSTAGRAM INSTAGRAM
I will send photos of my products and booth set up and relevant certificates to farmersartisansmarketlockhart@gmail.com*

Yes
Who referred you to join our market? *
QUALIFIED AGENT:   (Who else will be selling at the market?)
First Name   Last Name
   First Name   Last Name
First Name   Last Name
First Name   Last Name
NAME OF ORGANIZATION (nonprofit vendors only)
WHAT IS THE MISSION OF YOUR ORGANIZATION? (nonprofit vendors only)
Submitting an application does not guarantee admittance into the Farmers and Artisans Market of Lockhart.

By signing the line below, I hereby certify that all the information contained in this application is correct and true. I have read and will abide by the Farmers and Artisans Market of Lockhart rules and procedures. False or misleading information will result in automatic dismissal from the Farmers and Artisans Market of Lockhart. The board will not review any applications without complete attachments (insurance, food handler's certificate, photos of product or link to photos).
APPLICANT NAME(please print):*

First NameLast Name
APPLICANT SIGNATURE*

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Date*

MonthDayYear
Date
I acknowledge that a representative of FAML will respond within 48 hours and should have a response within 5 days after submission including email with photos, insurance, food handler's certificate.*

YesNo
I acknowledge that I have read all of the rules and regulations and will abide by them.*

YesNo
Internal Purposes Only:
Date received:_______________
Received by:__________________________________________________
Approved: ________ Date approved: ___________________
Not approved: _____ Reason not approved: ___________________________________________
PHONE NUMBER
Area Code*   Phone Number*
Area Code   Phone Number     Phone Number
Should be Empty: