Farmer/Vendor Application

First Name

Last Name

Address

City

State

Zip

Personal Phone (numbers only)

Personal Email Address

Business Name

Product(s)

My Product Is: (check all that apply) My Product Is: (check all that apply) Locally Grown Certified Organic Prepared Other

Other

Do You Have A Business Address? Do You Have A Business Address? Yes No

Business Address

Do You Want To List Your Personal Address As Your Business Address On Our Website? Do You Want To List Your Personal Address As Your Business Address On Our Website? Yes No

Do You Have A Business Phone Do You Have A Business Phone Yes No

Business Phone (numbers only)

Do You Want To List Your Personal Phone On Our Website? Do You Want To List Your Personal Phone On Our Website? Yes No

Do You Have A Business Email? Do You Have A Business Email? Yes No

Business Email Address

Do You Want To List Your Personal Email On Our Website? Do You Want To List Your Personal Email On Our Website? Yes No

Do You Have A Website? Do You Have A Website? Yes No

Business Website Address

Do You Have A Facebook Page? Do You Have A Facebook Page? Yes No

Business FaceBook Address

How Many Years Have You Been In Business? How Many Years Have You Been In Business? 0 -1 years 2 -5 years 5-10 years 10 -15 years 15 - 20 years Over 20 years

Are required permits current? Are required permits current? Yes No

Months of Harvest Months of Harvest April May June July August September October Not Applicable

Have You Ever Participated In A Farmers Market? Have You Ever Participated In A Farmers Market? Yes No

Where?

When?

Do You Participate In the Farmers Market Nutrition Program? Do You Participate In the Farmers Market Nutrition Program? Yes No

Do You Participate In WIC? Do You Participate In WIC? Yes No

Type of Vehicle Type of Vehicle Pick-up Truck Panel Truck Box Truck Refrigerated Truck Car

How did you hear about the Forest Hills Farmers Market? (check all that apply) How did you hear about the Forest Hills Farmers Market? (check all that apply) Word of Mouth Newspaper Facebook Website Instagram NextDoor Other

Other

Acceptance of Terms Acceptance of Terms I have read the by-laws and agree to abide by the terms. I understand that failure to abide by the terms could result in expulsion from the market.