The Millwork Night Market Vendor Application
Growers/Producers/Processors
Email address *
Vendor's Name
Your answer
Business Name
Your answer
Address (include city, state, and zip code)
Your answer
Business Phone
Your answer
Additional Phone
Your answer
Website
Your answer
Type of Business:
List name and contact information of other potential vendors that you recommend we contact to participate in the Millwork Night Market:
Your answer
Check each category in which you plan to bring product to market:
*Please fill out the following information as it best pertains to your business*
Which food assistance programs are you trained and equipped to accept directly from customers to purchase your products at the market?
Do you grow or raise all products or ingredients that you plan to sell at the Millwork Night Market?
If no, please explain
Your answer
Location(s) where product(s) are grown/raised/made if different than address above:
Your answer
List the ingredients produced by your business that go into your products. If there aren’t any, please explain:
Your answer
List the farmers or growers who provide ingredients for the product(s) you are selling:
Your answer
*Please fill out the following information as it best pertains to your business*
Total Acreage:
Your answer
Cultivated Acreage:
Your answer
Do you use Integrated Pest Management Practices (IPM)?
Do you have any of these certifications?
If so, how many acres are under certification?
Your answer
Do you use Genetically Modified Organism (GMO) Seeds?
Please explain your practices in the following:
Pest Management
Your answer
Weed Control
Your answer
Water Management
Your answer
Soil Amendment
Your answer
***Please provide copies of any of the above certifications. Scan and email to: millworknightmarket@gmail.com or mail to: Wicked River LLC 1667 Jackson St. Dubuque, IA 52001***
*Please fill out the following information as it best pertains to your business*
If raising livestock: Are your animals pasture-raised?
Kept Indoors?
Combination?
Please explain your pasture-based practices:
Your answer
Do you use any feed additives or injectables to supplement the animal’s normal diet?
If so, what do you use?
Your answer
Do you use any hormones or antibiotics to maintain the animal’s health?
If so, what do you use?
Your answer
If grain-fed/finished, how many weeks are they fed grain before slaughter?
Your answer
Where are your animals processed?
Your answer
Commercial Liability Insurance
No insurance is provided by the Millwork Night Market to participants in the market. All vendors are urged to carry commercial liability insurance with limit of at least $1,000,000 per occurrence and general aggregate limits of at least $1,000,000.
All vendors participating in the Millwork Night Market are responsible for any loss, personal injury, deaths, or any other damage that may occur as a result of the vendor’s negligence or that of its employees or agents. All vendors hereby agree to indemnify and save Wicked River LLC, the City of Dubuque, and The Millwork Night Market volunteers and staff harmless from any loss, cost, damages, and other expenses, including attorney’s fees, suffered or incurred due to participation in the Millwork Night Market.
Fees & Market Agreement
Full Season (April-October) = $175
Drop-In (1 time) = $50
Check the month(s) you would like to participate if you selected the drop-in option.
***Please Note: In order to minimize saturation among types of vendors, applications will be approved on a first come basis as they best fit and comply with the nature of the market. If duplicates occur, applications will be added to a waiting list***
I have read the Market Application and Market Rules. If accepted into this market, I hereby agree to abide by the Market Rules adopted by the Millwork Night Market. Further, I agree to sell only such items as those listed in the application. I also acknowledge those products must be of my own production or produced at the location described in the application. I acknowledge full responsibility for all my activities in the market (and for those assisting me) throughout the market night. I acknowledge the authority of the Market Manager to immediately settle any disputes regarding product legitimacy, procedural or vendor conduct violations, and impose penalties up to and including removal from the market. I agree to allow the Market Manager to inspect the premises where the products offered for sale are produced. I agree to allow the Market Manager to review craft/artisan items if the crafted item(s) do not appear to be crafted by the vendor themselves. I understand that the Millwork Night Market does not carry any insurance policies to cover individual participants and that I am urged to carry such insurance. I understand that the Millwork Night Market does not reimburse vendor fees if I fail to abide by the rules of the market. I certify that the information contained in this application is true and accurate.
Business Name:
Your answer
Vendor's Name:
Your answer
Signature (If printing) Otherwise, type
Your answer
Date:
Your answer
Submit
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