Farmers Market Vendor Application & Information

I request permission to sell at the AMADOR FARMERS MARKET. I agree to: 1. abide by the guidelines of the Market and all other laws, codes and regulations as required, and 2. to cooperate with Market Management and pay all required fees, and 3. to notify the Market Manager immediately of any changes in the information given by me on this application.

At this time I am also applying for membership in the AMADOR FARMERS MARKET ASSOCIATION. I will mail a check for the annual Association membership fee of $50, or bring it to the first market that I attend. Mailing Address: AMADOR FARMERS MARKET ASSOCIATION P.O. Box 1543, Jackson, CA95642

Contact Name *

First

Last

Farm Name (if any)

County *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Cell Phone

Resale ID number (if any)

Name of family members / employees who may sell for you

Are you a Certified Producer?

Certified Producer *

Yes
No

Certificate Number

County Certificate Issued

Organic Growers Please Complete This Section

Will you be selling organically grown Produce? *

Yes
No

Organic Producer Registration No

County

Health Dept./USDA Permit No

County

Booth Information

I plan to sell from: *

Table with umbrella (preferred)
Tent (maximum 10 x 10)

Indicate the size of the table or tent - length and width

I will require more than one stall space *

Yes
No

If YES, how many?

I am applying to participate Saturdays in Sutter Creek: *

Yes
No

I am applying to participate Thursdays in Plymouth *

Yes
No

I am applying to participate Wednesdays in Ione *

Yes
No

Additional needs, comments, or explanations

List items you plan to sell and when: *

Signature - You may sign with your mouse or touch screen, just like you would use a pen. *

Unsigned forms will be held for signature before final approval of the Vendor Application.

Date / Time *

Date

Time

Click field to select today's Date and Time

Vendor Information and Application

Would you like to become an Amador Farmers Market Vendor?

AMADOR FARMERS MARKET ASSOCIATION – Application to Sell

Are you a Certified Producer?

Organic Growers Please Complete This Section

Booth Information