Riverside Farmers Market Application

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Applicant Name:(Required)

Farm or Vendor Name:(Required)

Address(Required)

Street Address City State ZIP Code

Cell Phone:(Required)

Your primary phone should be able to receive text messages regarding the market.

Home Phone:

Email:(Required)

Website:

If you are a producer, please describe your operation:

1. Do you want to be a full-time, regular vendor at the market or a rotating guest vendor (based on space availability)?(Required)

Full-Time Vendor

Rotating Guest Vendor

2. List any other farmers’ markets where you are a vendor:(Required)

3. Describe your booth set up (i.e., number of tables, size of tent trailer, vehicle size, etc.):(Required)

4. Please list the products you intend to sell at the Riverside Market:(Required)

5. Tell us about the history of your business and how long it has operated:

6. Are you interested in serving on the Riverside Market Advisory Committee?

Yes

Not sure/Tell me more

7. Is your farm certified organic?

Yes

Attachment(Required)

If yes, please attach a copy of your most recent certificate.

Max. file size: 500 MB.

8. Mark the dates you will NOT be able to attend the Riverside Farmers’ Market due to vacation, etc:

9. Please list any of YOUR questions or concerns about the Riverside Market:

10. Please upload any relevant certificates or permits you have for what you sell.

Max. file size: 500 MB.

Consent(Required)

I HAVE READ AND UNDERSTAND THE RULES AND REGULATIONS OF THE RIVERSIDE FARMERS’ MARKET AND AGREE TO BE BOUND AND ABIDE BY THEM IF ALLOWED TO PARTICIPATE IN THE MARKET AT RIVERSIDE, THE FARNSLEY-MOREMEN LANDING.(Required)

Signature of Applicant(Required)

Date(Required)

MM slash DD slash YYYY

Applicant Name (printed)(Required)

Farm or Company Name(Required)

RIVERSIDE FARMERS MARKET APPLICATION

If you are a producer, please describe your operation:

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