Vicksburg Farmers’ Market Vendor Application 2017

Name: ______

Business Name: ______

Address: ______

______

E-Mail: ______ Phone/Cell #: ______

Emergency Contact______Phone/Cell #: ______

Name of your website or Facebook page: ______

Please check the box(es) that best define the products you wish to sell (Categories listed in rules)

□ Farmer/Grower

□ Baked Goods

□ Retailer

□ Producer

□ Food Truck

Products you expect to sell: (Please list ‘everything’ you are interested in selling)

______

______

______

Please submit ALL licenses/certifications as required by USDA, MDARD, & Health Dept. with application.

Do you NEED electric hook-up (Note: NO electric hook up to inside stalls or outside pavilion)? Yes / No

2017 VFM Stall Rates:

_____ Seasonal west side 12 x 12 = $9.14/wk = $192/season

_____ Seasonal east side 8 x 10 = $7.62/wk = $160/season

_____ Seasonal inside 6 x 10 or outside tent (no electric) = $6.10/wk = $128/season

_____ Occasional vendors (space as available) and all food trucks = $20/day present

Indicate preference though no guarantees on stall location on these designations.

Checks payable to: Vicksburg Farmers’ Market. *Rental fees are non-refundable.

I, ______have read and fully understand the Vicksburg Farmers’ Market Rules. I hereby agree to comply with these Vicksburg Farmers’ Market Rules and all Federal, State and local licensing and health regulations that apply (to farmers markets) and agree to forfeit my rights to sell at the Vicksburg Farmers’ Market if I am found to be in non-compliance.

I further agree to indemnify and hold harmless the Vicksburg Farmers’ Market, the Village of Vicksburg, Brady Township, and all volunteers of the market from any claims, causes of action, liability, and other costs resulting from any damage to personal property, or for accidents or injuries sustained by myself or my representatives while using the Vicksburg Farmers’ Market.

Signed ______Date: ______Rev. 04/03/17

Send/e-mail to: Sue Moore, 4015 E. X Ave, Vicksburg, MI 49097 (269) 649-2453