2019 Brockton Farmers Market: Community Organization Request Form
Thank you for your interest in the Brockton Farmers Market.
Our Market runs every Friday from July 12-October 25, 10am-2pm.
Email address *
Contact Information
Main Contact Name (First & Last) *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Organization Information
Organization Name *
Your answer
Is your organization located in Brockton? *
If no, where are you located?
Your answer
Website
Your answer
Is your organization a... *
Tell us about your organization. (i.e. mission) *
Your answer
What would you plan to do at the market? (i.e. pass out flyers? etc) *
Your answer
Preferred Dates at Market
Please choose two dates, your preferred date and a backup date in case the preferred date is no longer available.
We have space for one community organization at each market.
Please select one preferred date and one backup date
Preferred Date
Backup Date
July 12
July 29
July 26
August 2
August 9
August 16
August 23
August 30
September 6
September 13
September 20
September 27
October 4
October 11
October 18
October 25
A copy of your responses will be emailed to the address you provided.
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