Vendor Booth Registration Form

Name

First NameLast Name
Business Name
Phone Number

Area CodePhone Number
Email
example@example.com
Farm Information:
Farm or Production Location – Please provide the Town. If your location does not have a street address, please provide the TMK (Tax Map Key).
Address

Street Address or TMK

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you open to a visit from our farm manager to see your farm and confirm that your produce is grown on Hawaiʻi Island?

YesNo
List any agricultural certifications:
Select your style of farm management:

USDA OrganicOrganically ManagedConventional ManagedOther
Total producing farm acreage:
Insurance:
Do you carry farm or product liability insurance? (Liability insurance is required for all vendors. Vendors may obtain coverage through our portal or upload proof of existing insurance there. Insurance purchased through the portal is portable and remains valid wherever the vendor operates.)

YesNo
Upload proof of coverage here

Purchase coverage here
Please answer yes or no to the following questions:
Do you have a GE License?

YesNo
All vendors are required to have a General Excise (GE) License https://tax.hawaii.gov/geninfo/get/. If you need assistance obtaining one, we can guide you through the process. Please email a copy of your GE license to malamadafarmer@hawaiifoodbasket.org or call our office for help.
Are you a Homemade Food Operation (HFO)?

YesNo
Do you have a current food safety certification?

YesNo
Vendor Categories:
Please check all that apply

Produce FarmerLivestock/Protein ProducerValue-added Food ProducerNursery/PlantsPepared/Ready-to-eat FoodsFood TruckWellness/BotanicalsFloristOther
Brief description of products:
Booth Spaces:
Booth spaces are assigned by the Market Manager.
Standard booth spaces measure 10' x 10'.
Food trucks are assigned separate spaces.
Vendor Category (Select One)

Produce Farmers & Small-Scale Growers ($10 during pilot)Ranchers & Protein Producers (Pilot fee: $10)Value-Added Food Producers (Pilot fee: $10)Plant, Nursery & Flower Vendors (Pilot fee: $10)Ready-to-Eat Food Vendors (Pilot fee: $25)Wellness & Botanical Vendors (Pilot fee: $10)Food Truck Vendors (Pilot fee: $80 – 6-month pilot)
Should be Empty:

Ho'olako Farmers Market
Vendor Registration

Farm Information:

Insurance:

Upload proof of coverage here

Purchase coverage here

Please answer yes or no to the following questions:

Vendor Categories:

Booth Spaces:

Ho'olako Farmers MarketVendor Registration

Farm Information:

Insurance:

Upload proof of coverage herePurchase coverage here

Please answer yes or no to the following questions:

Vendor Categories:

Booth Spaces:

Ho'olako Farmers Market
Vendor Registration

Upload proof of coverage here

Purchase coverage here