Vendor Application

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Company Name *

Applying as a: *

Contact First Name *

Contact Last Name *

Street Address *

City *

Zip / Post Code *

Primary Phone *

Alternate Phone

Email *

Website

Describe the product you wish to sell *

What other Farmers Markets do you participate in? *

Where is your product made? *

How long have you been selling this product? *

If you are a farmer, what is your certified producer certificate number?

If you sell a prepared or prepackaged food, list the appropriate health permits you have: