UNC FARMERS MARKET VENDOR APPLICATION FORM
  • UNC FARMERS MARKET VENDOR APPLICATION FORM

  • General Information and Policy for All Vendors

  • Contact Information

  • Format: (000) 000-0000.
  • Business Information

  • INDEMNIFICATION AGREEMENT

  • INDEMNIFICATION AGREEMENT

    The undersigned hereby assume(s) all liability arising from participation as a vendor at the United Neighborhood Special Events.  The undersigned do(es) hereby agree to indemnify and hold harmless United Neighborhood Centers of Northeastern Pennsylvania, its officers, directors, agents, employees and volunteers from any and all claims, suits or causes of action (including reasonable attorney’s fees for the defense thereof) brought by any person, firm, corporation, or organization, or the personal representative thereof, arising from your participation as a vendor during special events. By signing below, I accept the space given and will comply with the rules attached to this letter. I also agree to the Indemnification notice above. This applies to all people who attend the market to work on my behalf.  
  • Publicity and Photo Release Agreement

  • Publicity and Photo Release Form UNC NEPA

    I, [Your Name], hereby give my consent for the use of my image, likeness, and voice, as well as any quotes or personal information I have shared, in audio or video recordings, or photographs. I understand that this may include editing, copying, exhibiting, publishing, or distributing this material, without any payment or consideration. I acknowledge that these materials may be used for various purposes including conference presentations, educational courses, informational presentations, and agency publicity (such as newspapers, television, social media, brochures, etc.).I understand that my image or story may be displayed electronically on the internet or in educational settings accessible to the public. I will be notified if my photographs or recordings are used for purposes other than those listed above. This release has no time limit and applies globally. By signing this form, I confirm that I have read and understood its contents, and I agree to its terms. I hereby waive any claims against individuals or organizations using this material for educational or agency purposes.
  • W-9 Requirement

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  • Department of Agriculture Certificate

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  • Please upload any other certifications you have.

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  • Upload your product photos below

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