LAKESIDE FARMERS MARKET

LAKESIDE FARMERS MARKET
VENDOR REGISTRATION FORM
SECTION 1: BUSINESS INFORMATION
Business Name:
Owner/Operator Name:
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Business Address:
Texas Sales Tax Permit Number (if applicable):
SECTION 2: VENDOR TYPE (CHECK ONE)
Vendor Type
SECTION 3: PRODUCT LIST
Product List
SECTION 4: PERMITS & LICENSES
Permits & Licenses
SECTION 5: INSURANCE
Certificate of General Liability Insurance (recommended)
SECTION 6: BOOTH INFORMATION
Booth Size: 10x10
Number of Booths Requested:
Vendor Fee: $20 per booth
SECTION 7: PAYMENT INFORMATION
Zelle: Shelby Boettcher
830-220-4607
Cash App:
$shelbsdenae

DUE ONE WEEK BEFORE MARKET
Printed Name:
Signed Name:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: