Rebel Marketplace Vendor Request Form
Full Name *
Business Name *
Email Address *
Phone Number *
Type of Vendor *
If Other please describe your service or product
Have you sold at our Market Before
Clear selection
Cottage Food License? (if applicable)
Clear selection
Retail Food Establishment License? (if Applicable)
Clear selection
Business Insurance (Required for all vendors)?
Clear selection
Desired Market Days to Vend: *$25 per day requested
Online Vendor Options
Clear selection
Required with application (please send all required documents to Grevious17@yahoo.com)
To ensure this is a good fit for both parties involved I like to have a phone call with all potential vendors. Please provide a few dates and time you will be available for a phone interview.
2021 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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