Prepared & Processed Food Application
Columbia Farmers Market
PO Box 10012
Columbia, Missouri 65205
573-823-6889
www.columbiafarmersmarket.com
manager@columbiafarmersmarket.org

Email address
Name
Your answer
I certify that all products listed in this application comply with applicable Health Department Codes.
Location of certified kitchen where item(s) will be prepared (name and site address), if one is required.
Your answer
Electricity needed at market?
Item 1 - Product Type (e.g. soup, jam, burrito, etc.)
Your answer
Preparation Method (e.g. canning, baking, etc.). Please be as detailed as possible.
Your answer
List all foods prepared by this method (e.g. blueberry jam, raspberry jam, apple butter, etc.).
Your answer
List items used for this product that will be supplied by other CFM vendors or local producers (not grown by you). Every effort must be made to obtain ingredients from other CFM vendors or grown by yourself. Give supplier contact information (name and phone):
Your answer
List method of heating/cooling needed at market:
Your answer
Item 2 - Product Type (e.g. soup, jam, burrito, etc.)
Your answer
Preparation Method (e.g. canning, baking, etc.). Please be as detailed as possible.
Your answer
List all foods prepared by this method (e.g. blueberry jam, raspberry jam, apple butter, etc.).
Your answer
List items used for this product that will be supplied by other CFM vendors or local producers (not grown by you). Every effort must be made to obtain ingredients from other CFM vendors or grown by yourself. Give supplier contact information (name and phone):
Your answer
List method of heating/cooling needed at market:
Your answer
Item 3 - Product Type (e.g. soup, jam, burrito, etc.)
Your answer
Preparation Method (e.g. canning, baking, etc.). Please be as detailed as possible.
Your answer
List all foods prepared by this method (e.g. blueberry jam, raspberry jam, apple butter, etc.).
Your answer
List items used for this product that will be supplied by other CFM vendors or local producers (not grown by you). Every effort must be made to obtain ingredients from other CFM vendors or grown by yourself. Give supplier contact information (name and phone):
Your answer
List method of heating/cooling needed at market:
Your answer
I have reviewed and agree to follow all local, state and federal regulations that pertain to all products sold at the Columbia Farmers Market.
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