UVFM 2023 Membership Application
Please fill out your personal and business information. Questions can be directed to Market Manager Meg Williams at manager@uvfarmersmarket.com , 541-375-0277.
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Application date *
MM
/
DD
/
YYYY
Business Name
Member name *
In business since
Street address
City, State, Zip
Phone number *
Website Address
Social Media Links
Non vendor applicant
Clear selection
Type of Vendor (choose the one that best matches your business) *
Required
Pleas list all of the products you wish to sell (required)
*
Are you prepared to show a full ingredient list for all products if asked?
*
Additional contact Name
Phone/Email for Additional Name
Next
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