Vendor application form

Vendor application form
Farmer/Business name:*
Full name:*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Instagram & Facebook:*
Business type: check all that applied to specify products, if not listed, please write it in the description below.*

FoodDrinks (non-alcoholic)drinks (alcohol)Teas or CoffeeBaked goodsPrepared foodsHerbs(dried or fresh cut)Nursery products: circle product types – annuals, perennials, vegetable/herb plants, nursery stockJewelryPaintingsDrawingsComicsBooksCosplay propsCrochet or knitApparelAccessoriesOther
Please describe in detail what you intend on selling:
Please show photos of what you’re intending to sell:*

Cancelof
Additional products you may plan to sell, as well allowed by the market rules and regulations:
Farm/Production Facility (incl. Food Truck) Inspections:The market management reserves the right to do spot visits and inspections to assure that the products sold are in compliance with the market's rules and regulations.Directions to your farm/production facility:
How did you hear about us?*
Production method used:*

Certified organic. Copy of my current certificate must be placed on file with the Market.Noncertified organic my gross agriculture income from organics sales totals $5,000 or less annually I comply with applicable, organic production handling requirements.Conventional.other(eg, crafts and or other non-food artisan products)
Market operations*

I would like to reserve a stall for the current seasonI would like to be a weekly vendor paying a weekly fee as I use the space in the marketI operate a food truck and would like to pay weekly as I use the space in the marketOther
Please indicate for which market(s) you wish to be considered*

Full outdoor market and indoor season April 7 through December 1stOnce a monthTwice a monthOther
Certificates/Licenses Required: At the market, be prepared to produce any necessary Sales Tax license, health permits, nursery license, dairy and meat permits, etc. upon inspection.Send scanned copies of the completed application and signed Compliance and Indemnity Agreement to 4MRMarket@arlandria.org or mail completed forms to:Four Mile Run Farmers & Artisans Market c/o Market Manager, 3905 Elbert AvenueAlexandria, VA 22305
Compliance and Indemnity Agreement: I (we) the undersigned, have read the Rules and Regulation of the Farmers Market and do agree to abide by all rules and regulations. I (we) further agree to operate my (our) stall in accordance with these rules and regulations and to pay all applicable fees as set out in the rules and regulations. I (we) do understand that the stall fee, length of season, and hours of operation are set in the rules and regulations, and I (we) will abide by them. I (we) further understand that failure to comply with the rules and regulations of the Farmers Market could mean dismissal from the market. As a vendor, wishing to participate in the Farmers Market, I (we) agree to SAVE, HOLD HARMLESS and INDEMNIFY the Farmers Market, its sponsoring agency, members, and employees from any and all liability or responsibility pertaining to any damages to person or property on the site assigned to me (us) by the Farmers Market, when such damages or liability arise out of acts on my (our) own, or of my (our) employees or associates, located as such site. I (we) verify that all information I (we) have provided about my farm and products for sale is true and accurate. I (we) understand that the Farmers Market operates on limited funds. I (we) also acknowledge that the Farmers Market’s beneficial purpose will be impossible to pursue if it is subjected to costly litigation. Wherefore I (we) hereby agree that as a condition of my participation in the Farmers Market, I (we) will resort to litigation against the Farmers Market, its officers, management, and affiliated entities, only after attempting in good faith to resolve the dispute. I (we) agree to limit any claim I (we) may have as a result of a decision by the Farmers Market management or Board of Directors which results in the denial of a market acceptance, the denial of a product to sell, or wrongful suspension or termination from the Farmers Market, to a return of market fees incurred during my (our) absence from the market. I (we) further agree that in the event I (we) am unsuccessful in my (our) litigation against the Farmers Market, I (we) will pay all costs, expenses, fees, and disbursements incurred by the Farmers Market in the course of its defense of said litigation, and I (we) will also pay the Farmers Market a reasonable attorney’s fees
Please type your full name if you’re in a agreement with the policy and rules
Time*

Hour Minutes

AM/PM Option
Date*

MonthDayYear
Date
Should be Empty: