Capon Bridge Farmers Market - Vendor Application 2022 Responses
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Name of Business
Business Owner Name
Products Available
Primary Telephone Number
Alternate Telephone Number
Emergency Contact Name and Telephone Number
Mailing Address
Farm/Business Address
Website/Social Media
Best way to contact you
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Will you accept Senior Vouchers at your booth?
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How many market days do you anticipate missing this season?
Do you agree to allow Hampshire County Farmers Market Association (HCFMA) to use your likeness, name, business, products, etc on any marketing efforts that are a direct effort to increase the customer base of the markets?
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Initial here that you have the individual liability insurance required by the HCFMA
By typing my name below, I am electronically signing this application. I am signing that I will remit copies of all applicable licenses, certifications of inspections, and permits, as well as any additional forms required or requested from the Hampshire County Farmer's Market Association. I agree not to hold the Hampshire County Farmer's Market Association (HCFMA), its volunteers, the City of Capon Bridge, or its representatives and/or employees responsible for any damages arising out of the sales of my products or from my presence on the Market site. I agree to sell only those items approved by the Market Management as noted. I hereby acknowledge the receipt of the Guidelines for the Hampshire County Farmer's Market Association. I will review and follow all state food laws, regulations and West Virginia Department of Agriculture requirements pertaining to my products. I have read, understand, and agree to abide by these rules and regulations.
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