LAKE STEVENS FARMERS MARKET 2014 APPLICATION
PO Box 439
Lake Stevens, WA 98258
425-334-0433
www.lakestevenschamber.com
Vendor’s Name______
Required: UBI # ______
Required: City of Lake Stevens Business License #
______
Business Name ______
Farm Location ______
Home Phone ______
Business Phone ______
Cell Phone ______
Email ______
Website ______
Mailing Address ______
______
Please check those that apply:
Farmer
Certified Organic
Cut Flowers
Processor
Honey
Food Concessions
Nursery
Baked Goods
Seafood
Meat
Dairy
Crafts
Beer/Wine H
Other
Describe the crops or products you intend to sell
*Any products not listed here will not be permitted
To be sold without prior permission
______
______
What other markets do you sell at?
______
List family members or employees who may sell for you?
______
______
What type of vehicle will you be bringing? ______
I would like to reserve a vendor space for the following dates:
8/1 9/5
8/8 9/12
8/22 9/19
8/29 9/26
Fees Enclosed:
$15 Registration Fee
$25 for each date (10’x10’ space)
$40 for each date (over 10’x 10’ space
Or Food Truck)
Copy of Special Event/Host Liquor Liability Insurance Certificate