Farmers Market Vendor Application Form

Farmers Market Vendor Application Form

Please fill out this form to apply as a vendor at the West Little Rock Farmers Market at Breckenridge and/or the ALFN online farmers market. You can also use this form to let us know if you’d like to work with the Green Groceries program of Christ Episcopal Church.
The application will collect information in three sections:
- Farm/business information
- Market-specific information
- Farm/business practices
Questions/Need Info? Email ARLocalFoodNetwork@gmail.com or call 501-396-9952. Thank you!
Farm/Business Information
Full Name*

First NameLast Name
Farm/Business Name*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Website*
Facebook or Other Social Media (optional)
Farm/Business Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Please provide a brief description of your farm/business including how long you've been in operation:*
Please list other markets and stores/product outlets you currently work with to sell your products:*
Certified OrganicCertified Naturally GrownNo ChemicalsConventionalNot Applicable/Non-Farm Applicant
Market-Specific Information
West Little Rock Farmers Market at Breckenridge Village (WLRFM)ALFN Online Market (Downtown)Green Groceries Food Mission of Christ Episcopal Church
Click to review the WLRFM Rules and Regulations
The West Little Rock Farmers Market at Breckenridge Village will open for the 2026 season on Saturday, April 18, 2026 and operate every Saturday from 8:00am to 12:00pm through October 31, 2026.
I have read and I agree to the WLRFM Rules and Regulations.
YesNo
Every Other WeekOnce a MonthOccasionalNot Applicable. I prefer to vend at all markets.
YesNo
YesNo
1 booth space2 side-by-side booth spaces
CashCredit CardCheckWICSNAP
Click to review the

ALFN Online Market Vendor Agreement
YesNo
Green Groceries: Items are purchased for Green Groceries food pantry in quantities provided for 35-40 family bags of food. Please describe the items you intend to offer along with projected availability (months of the year). We will reach out to you to orient you to the availability and ordering cycles for this program.*
Farm/Business Practices
Produce, Herbs, NutsMeat, Eggs, DairyHoneyValue-Added Products/Baked GoodsNon-Food ItemsPrepared Food, Food Truck or Food Cart (WLRFM Only)Education/Community Outreach (WLRFM Only)
Prepared Food, Food Truck or Food Cart: Please describe*
Prepared Food, Food Truck or Food Cart: Upload your Retail Food Establishment Permit*

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Education/Community Outreach: Please describe*
Produce, Herbs and Nuts: List products you intend to sell this year:*
Pesticides, Fungicides, Insecticides, Herbicides, BactericidesBiological Pest ControlsCommercial Fertilizers/SupersoilMechanical or Physical Pest ControlsCompostsMulchesCover CropsGreen ManuresSeed SavingGMO seedsPurchased TransplantsHigh TunnelsRaised BedsHydroponicsCrop RotationChemically Treated SeedsHeirloom/Open Pollinated SeedsGreenhouseIndoor GrowingSoil TestingNo Till
Produce, Herbs, and Nuts: Please describe your practices related to the above*
Meat, Eggs, Dairy: List products you intend to sell this year:*
Rotational GrazingContinuous GrazingProbiotics, Herbal Medicines, HomeopathyMinerals or Other SupplementsRoutine Vaccinations & AntiparasiticsRoutine AntibioticsGrowth HormonesNew Livestock Born On-SiteNew Livestock Purchased100% GrassfedGrass-finishedSelf-Raised FodderPurchased Fodder
Meat, Eggs, Dairy: Please describe your practices related to confinement practices, pest management, watering, waste management, and finishing and processing*
Honey: Please describe your practices including supplemental feeding, disease and pest management, harvesting and processing, any suppliers used to source queens, water source and use of medications*
Honey: # of Hives*
YesNo
YesNo
YesNo
Value Added & Baked Goods: List products you intend to sell including information about locally sourced ingredients or components*
Value Added & Baked Goods: Please describe and provide the address of the facility or facilities in which your value-added products are prepared including any certifications maintained*
Value Added & Baked Goods: If applicable, please upload kitchen, retail or manufacturing permits

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Value Added & Baked Goods: Please describe your batch-keeping record process*
Non-Food Items: Please describe in detail the items you would like to sell at the market. You are encouraged to email us photos of your products.*
YesNo
Is there any additional information you would like to provide about your farm or business?
Signature to Confirm Application*

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My Products*

ALFN Application Fee

$15.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

Farmers Market Vendor Application Form

Farm/Business Information

Market-Specific Information

Farm/Business Practices