Food Application

Date*
Date Format: MM slash DD slash YYYY
Market Category*
- Food Purveyor
- Packaged Food
Name*
First Last
Company/DBA*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Website
Have you ever exhibited in a market before?*
- Yes
- No
List the crops/food items/menu/product you would like to offer:*
List current market you participate in:*
Organic Registration? (if applicable)*
- Yes
- No
Do you meet all Dept of Health permitting, booth and equipment requirements for food prodcution and/or packaged food. *No sampling at this time.*
- Yes
- No
Which of the following do you qualify for or have an existing permit for?*
- Cottage
- Commissary
- Cart
Booth space request:*
- 10x10
- 20x20
Market Quarters You'd Like to Attend:*
- Spring
- Summer
- Autumn
- Winter
- All
Please indicate that you understand submission of information does NOT qualify you for entry into the Harvest Market. The Market Manager will contact you regarding your application.