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.

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

At this time I am also applying for membership in the AMADOR FARMERS MARKET ASSOCIATION. I will mail a check ( to the address below ) for the annual Association membership fee of $50, renewable by May 1st of each year.

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
Tent
Vehicle

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

I will require more than one stall space *

Yes
No

If YES, how many?

I Will Participate Wednesdays In PINE GROVE *

Yes
No

I Will Participate Saturdays In SUTTER CREEK *

Yes
No

I will participate on Thursdays in PLYMOUTH *

Yes
No

Additional needs, comments, or explanations

List items you plan to sell and when: *

AMADOR FARMERS MARKET ASSOCIATION P.O. Box 1543, Jackson, CA95642

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.

Email *

Vendor Information and Application

Would you like to become a Market Vendor?

AMADOR FARMERS MARKET ASSOCIATION – Application to Sell

Are you a Certified Producer?

Organic Growers Please Complete This Section

Booth Information