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HERITAGE FARMERS MARKET
First and Last Name
Address; Street Name, City, Zip Code,
Website or Social Media Accounts
Interested Start Date
Prepared Food/Food to be consumed on site
Tent space required (certifed farmers only)
Equipment used on site ( Propane, generator, ect)
Organic or Conventional
County/ City of Production
**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:
Market(s) of Interest
Rancho Cucamonga/Victoria Gardens (Fridays, 10-2 PM)
Rancho Cucamonga/Terra Vista Town Center (Saturdays 9-2 PM)
Yorba Linda/ Yorba Linda Library (Sundays 10-2 PM)
Crestline/Lake Gregory ( Fridays Seasonal May-Sept 5-9 PM)
Rancho Cucamonga/Harvest Festival (Oct 20 10AM-2PM)
All vendors must be in operation come rain or shine
I understand and adhere to this requirement
Certified Produce Permit No.
Health Permit No.
Sellers Permit No.
Liability Insurance Info
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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