2022 PETWORTH COMMUNITY MARKET VENDOR APPLICATION FORM

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Thank you for your interest in selling at the 2022 season of the Petworth Community Market! Participation in our market is only for regional farmers/producers who sell what they grow, raise or produce on their own farm or facility from the Chesapeake Bay watershed region. We prioritize value-added and prepared food producers who use local farm ingredients. We also welcome local artisans with non-food offerings such as crafts.

Please read our 2022 Rules and Regulations fully before submitting the below application. Please also note we have increased our fees slightly to ensure the sustainability of the market. It is our intent to keep the fees as reasonable as possible for our vendors. If you have questions about the fee this year please direct your questions to the Petworth Market manager@petworthmarket.org

After completing the form, a PCM representative will reach out to you regarding next steps. All vendors must be approved by the PCM board. Please note that PCM may pilot data collection tools to participate in grant programs that would provide matching funds for our WIC and SNAP clients. Vendors will be informed in a timely manner if these tools are put into place and will be given an opportunity to opt out.

Email *

Business Name *

Primary Contact Phone *

Primary Contact Email *

Primary Contact Name *

Business Mailing Address *

City *

State *

Zip Code *

Federal Tax ID Number (EIN) *

Website

Indicate Your Vendor Type *

Food Vendor: Farmer

Food Vendor: Secondary Producer

Food Vendor: Prepared Foods

Non-Food Vendor: Artist or Craftsperson

Non-Food Vendor: Service

Non-Food Vendor: Other

Are you qualified to accept WIC in 2022? *

We strongly encourage our food vendors to accept WIC

Yes - I have completed the WIC training for the 2022 Season

Not Yet - but I am interested in going to WIC training

No - I am not interested in accepting WIC

Not applicable

HOW OFTEN WOULD YOU PREFER TO VEND AT PCM? *

Weekly

Biweekly

Monthly

Other:

SELECT YOUR BOOTH RESERVATION - All fees are based on a full season commitment to Petworth Community Market for new vendors *

Vendor fees are due with any necessary supplemental documentation by April 30, 2022

10' x 10' Space - $825

10' x 20' Space - $950

10' x 30' Space - $1,125

10' x 10' Space every other week - $550

10' x 10' Space one week - $75

FOOD VENDORS: Please Indicate Your Product Offerings For The 2022 Season *

This includes ALL items you either plan to bring OR MAY BRING AT A LATER DATE

Vegetables

Fruit

Cheese

Dairy

Beef

Other Meats

Eggs

Prepared/ Pre-Packaged Foods

Bread or Baked Goods

Not Applicable

Other:

NON-FOOD VENDORS: Please Indicate Your Product Offerings For The 2022 Season *

This includes ALL items you either plan to bring OR MAY BRING AT A LATER DATE

Crafts

Jewelry

Visual Arts

Clothing

Service

Bath/Body Care

Not applicable

Other:

FINAL QUESTIONS

Can you provide proof of business insurance? *

Yes, I have business insurance and the accompanying documents

No, I do not currently have business insurance, but plan to acquire business insurance prior to May 2, 2022.

No, I do not have business insurance

If you are a FARMER, can you provide an Extension Agent Certification? *

Yes

I am not a farmer

If you are a PREPARED FOODS OR SECONDARY PRODUCER, can you provide proof that your products are produced in a licensed commercial kitchen? *

Yes

I am not a prepared foods or secondary producer

Do you or a member of your staff have a Serv-Safe certification or similar documentation from your local Department of Health?

Yes

Clear selection

Please provide a brief description of your business: *

(NEW VENDORS ONLY) Please describe in detail that products you would like to bring to the PCM and their approximate price points.

(NEW VENDORS ONLY) If you are a value-added or prepared food vendor, please describe in detail your sourcing practices. Wherever possible, PCM encourages its vendors to source locally/regionally.

Please agree to the following *

I have read and hereby agree to abide by all the rules and regulations as outlined in "2022 Market Rules and Regulations"

I agree to indemnify and hold harmless the Petworth Community Market, its incorporators, and its Board of Directors as well as the District of Columbia, and any subsidiary, affiliate corporation and all of their directors, officers, agents, and employees of the aforementioned from any and all liability for damage, injury or loss to any person or goods for any reason related to activities related to the Petworth Community Market

I agree to sell only products that I, and/or my immediate family or employees, have grown or produced on my property and/or property I lease. I will not resell any product purchased from a wholesale warehouse, retailer or other grower. I realize that failure to comply may result in my suspension or expulsion from the Petworth Community Market without refund.

SECONDARY PRODUCERS - I affirm that my operation is permitted to legally sell at public markets in the District of Columbia and that all products sold at market are produced in a commercially-approved and certified kitchen. My operation strictly adheres to applicable health code requirements valid in my jurisdiction and have included a copy of our commercial kitchen certification to this application.

PREPARED PRODUCERS - I affirm that my operation meets all applicable health department regulations of the District of Columbia and I am permitted to legally sell prepared foods at public markets in the District of Columbia

Required

PLEASE AGREE TO THE FOLLOWING:

Upon receiving confirmation from the Petworth Community Market of my acceptance into the market, I agree to provide the appropriate payment and necessary supplemental documentation to the Petworth Community Market by April 30, 2022.

Option 2

A copy of your responses will be emailed to the address you provided.

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