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HERITAGE FARMERS MARKET
Vendor Application
Email address *
First and Last Name *
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Address; Street Name, City, Zip Code, *
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Telephone Number(s) *
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Email *
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Fax
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Company Name *
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Website or Social Media Accounts
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Interested Start Date
MM
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DD
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YYYY
Products *
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Tent space required (certifed farmers only)
Equipment used on site ( Propane, generator, ect)
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Farm Location
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Organic or Conventional
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County/ City of Production
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**For Farmers** Will you sell for a second certificate? If yes, this second cert must submit a seperate application and provide a letter authorizing you to sell for them.
Markets you curretly sell at:
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Market(s) of Interest *
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All vendors must be in operation come rain or shine *
Certified Produce Permit No.
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Health Permit No.
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Sellers Permit No.
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Liability Insurance Info
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Requirements
Insurance: All vendors, exhibitors, and food must maintain current general liability insurance in an amount not less than $1,000,000.00, covering the vendor’s activities at market of participation naming separately as additionally insured parties:
Additional Insured parties to be named: 1.Heritage Education Group
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