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
Farmer (produce, eggs, meat, etc.)
Food Producer (value-added goods)
Cottage Food Producer Prepared
Food Vendor Non-Food / Artisan
Vendor
SECTION 3: PRODUCT LIST
Product List
SECTION 4: PERMITS & LICENSES
Permits & Licenses
Valid Government ID
Farmers Market Food Vendor Permit
Temporary Food Establishment Permit
Local Health Department Permit
Texas Cottage Food Law Compliance
Proper Labeling
Food Handler Certificate (if required)
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
Printed Name:
Signed Name:
Date:
-
Month
-
Day
Year
Date
Preview PDF
Submit
Should be Empty: