AFMC 2025 Vendor Payment
TREASURER'S COPY By signing below, I understand that I will hold harmless the AFMC, Inc. Market, its Executive Director, the Board of Directors Members, and Market Managers from any legal or financial liability in the case of accidents or incidents at the market.I understand that I am solely responsible for keeping my space safe for vendors and customers.I understand that if I engage the AFMC Inc., its Executive Director, Board of Director Members or Market Managers in litigation, for any reason, and the AFMC Inc., Executive Director, Board of Director Members or Market Managers are cleared of charges, I am solely responsible for all legal expenses incurred by the prevailing party during the course of litigation. I have read, understand, and agree to abide by the By-laws and Rules and Regulations of the AFMC, Inc., which are posted at the website, www.adirondackfarmersmarket.com.
Name
*
First Name
Last Name
Business Name / Not for Profit Name
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
I AM SELLING VEGETABLES/FRUITS/PLANTS
Vegetables from my farm (no license/permit needed)
Vegetables from a NY State or neighboring state farm (no license/permit needed)
Fruits from my farm (no license/permit needed)
Fruits from a NY State farm (no license/permit needed)
Plants from my farm/nursery/garden center (provide grower's license/sales tax # below)
Fresh dried cut flowers from my farm/nursery/garden center (provide sales tax # below)
Grower's License / Sales Tax #
I AM SELLING BEVERAGES/ALCOHOLIC BEVERAGES
Wine from my vineyard (provide farm winery permit # and sales tax # below)
Cider/Fruit Juice, pasteurized from my orchard/farm (provide 20C license # below)
Beer from my farm brewery (provide farm brewery permit # and sales tax # below)
Farm Winery Permit #, Sales Tax #, 20C License #, Farm Brewery Permit #
I AM SELLING HONEY/MAPLE SYRUP
Honey/Maple products from my farm (provide 20C license if not single ingredient)
Honey/Maple products from a NY State farm (30% limit) (provide 20C license if not single ingredient)
20C License #
I AM SELLING MEATS/POULTRY/EGGS/DAIRY
USDA inspected meat from my farm (provide facility name below where processed)
Poultry from my farm, processed on my farm
Poultry/rabbits from my farm, processed in a 5A facility (provide facility name below where processes)
USDA processed Poultry from my farm (provide USDA facility name below)
Eggs from farm
Eggs from a NY State farm
Cheese / dairy product (provide Ag & Markets Milk Control permit # below)
Facility name / Ag & Markets Milk Control permit #
I AM SELLING BAKED GOODS/JAMS/FOODS
Baked goods from my NY Certified kitchen (20C exempt) (provide 20C exemption # below)
Baked goods from my 20C license kitchen (provide license # below)
Baked goods from my Department of Health licensed kitchen (provide license # below)
Jams, jellies, marmalades from my NY Certified kitchen (20C exempt (provide 20C exemption # below)
Jam, jellies, marmalades, candy (not chocolate), repackaged spices and herbs, popcorn, caramel corn and peanut brittle from my 20C kitchen (provide license # and sales tax # below)
Processed foods from my 20C licensed kitchen (provide license # and sales tax # below)
Food prepared on-site (County or State Health Department) (provide permit #, expiration date and sales tax # below)
Food items not included in any of the above (provide license # and sales tax # below)
20C Exemption #, License #, Sales Tax #, Permit # and/or Expiration Date
I AM SELLING HAND CRAFTED PRODUCTS THAT I HAVE PRODUCED
Wood items (provide sales tax # below)
Made from nature (bark, cones ,etc.) (provide sales tax # below)
Jewelry (provide sales tax # below)
Fiber/Fabric (provide sales tax # below)
Ceramic/pottery (provide sales tax # below)
Photography / Paintings / Pen and Ink / Art (provide sales tax # below)
Paper (provide sales tax # below)
Cosmetic/Health products (provide sales tax # below)
Sales Tax #
IF WE ARE MISSING YOUR PRODUCED ITEM FROM THE LIST ABOVE, PLEASE PROVIDE DETAILS BELOW.
My Market(s)
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AFMC Market Membership
$
52.00
Keene
One Stall ONLY
$
375.00
Keene
Two Stalls ONLY
$
750.00
Keene
Three Stalls ONLY
$
1,125.00
Malone
One Stall ONLY
$
219.00
Malone
Two Stalls ONLY
$
438.00
Willsboro
One Stall ONLY
$
125.00
Willsboro
Two Stalls ONLY
$
250.00
Elizabethtown
One Stall ONLY
$
125.00
Elizabethtown
Two Stalls ONLY
$
250.00
Winter Market
$
104.00
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