FARM: New Candidate Applicant

AG - FARM: New Applicant

Applying does not guarantee entry.
Farm / Business Name*
Owner Name*

First NameLast Name
Phone - Cell*

Area CodePhone Number
Phone - Business*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Agri-Business Information
Business E-mail*
Website:
What do you sell?*
Are you certified organic?*
Seasons at market*
Which markets would you like to participate in? *

Old Oakland (Fri. 8am-2pm, Year Round)Castro Valley (Sat. 9am-1pm, Year Round)Santa Clara (Sat. 9am-1pm, Year Round)Sunnyvale (Sat. 9am-1pm, Year Round)Willow Glen (Sat. 9pm-1pm, Year Round)California Ave-Palo Alto (Sun. 9am-1pm, Year Round)Campbell (Sun. 9am-1pm, Year Round)Montclair Village (Sun. 9am-1pm, Year Round)San Carlos (Sun. 9am-1pm, Year Round)Temescal (Sun. 9am-1pm, Year Round
Legal Documents

Please let us know which of the following current documents you already possess. This will give us an idea of where you are on your planning time-line.
Legal Documents:*

Certified Producer Certificate (CPC).2nd Certificate.State Organic Registration and 3rd party certification.CA Egg Handler Registration.Nursery License.Fish and Wildlife Aquaculture Registration.County Health Permit and/or State Processed Food Registration (PFR).General Liability Insurance Policy for $1 million with Urban Village Farmers' Market Association listed as "Additional Insured."Certificate of Auto Insurance.I do not have any of these item yet.
UPLOAD copy of Full CPC (Certified Producers Certificate) and any other support documents you have.*

Browse Files
Multiple Uploads Are OK Cancelof
Staff

Name of Staff /Person who will sell at the market, if not you
Name*

First NameLast Name
Sellers Relationship to You / the Farm*

Paid Family MemberW2 EmployeeIndependent ContractorOther
Staff Cell Phone*

Area CodePhone Number
Additional Comments?
Should be Empty:

AG - FARM: New Applicant

Agri-Business Information

Legal Documents

Staff