Pinecrest Farmers Market 2021 - Vendor Application
Wednesdays, Sept 8 – Oct 13, 2021 (September 29 excluded)
4pm - 7pm

Located at Pinecrest
200 Park Ave
Orange OH 44122

Vendors will be located in the parking lot behind Shake Shack.
Business Name *
Contact Name
Street Address *
City, State, ZIP *
Phone (main) *
Phone (secondary)
Email *
Website *
License Number *
Cost: $25 per week, non-refundable. Please indicate which week(s) you would like to participate. *
How did you hear about Pinecrest Farmers' Market?
Clear selection
Please include a description of your farm or business. Include your business philosophies and tell us what makes your product unique. Please note that this description may be used for marketing purposes. *
Have you ever been cited by the ODA, USDA or any health department? If yes, please cite the incidences and how you resolved them - failure to report will be cause for removal from the market. *
Please describe your growing practices (eg, sustainable farming methods, chemical usage or lack of, etc). *
Prepared food applicants, please give info on where/how you source ingredients, and where foods are prepared. *
Are you certified organic? *
Please list which goods you will be selling. Be as specific as possible, including all types of produce, packaged goods, etc. *
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