Rebel Marketplace Vendor Request Form
Full Name *
Business Name *
Email Address *
Phone Number
Type of Vendor *
If Other please describe your service or product
Cottage Food License? (if applicable)
Clear selection
Retail Food Establishment License? (if Applicable)
Clear selection
Business Insurance?
Clear selection
Desired Market Days to Vend:
Required with application (please send all required documents to Grevious17@yahoo.com)
2019 Market Rules and Regulations
I request permission to sell at Rebel Marketplace. I agree to all terms, rules and regulations and to cooperate with Market Management, and to pay all required fees. *
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