2019 PETWORTH COMMUNITY MARKET VENDOR APPLICATION FORM
Thank you for your interest in selling at the 2019 season of the Petworth Community Market! Participation in our markets 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 to share in the spirit of the market.

Please read our 2019 Rules and Regulations fully before submitting the below application as well as the fees to participate with us. 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 Board Chair meaghan.murphy@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.
Business Name *
Primary Contact Phone *
Primary Contact Email *
Primary Contact Name *
Business Mailing Address *
City *
State *
Zip Code *
Federal Tax ID Number (EIN) *
Indicate Your Vendor Type *
Website
Are you qualified to accept WIC in 2019? *
We strongly encourage our food vendors to accept WIC
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 on May 3rd, 2019.
FOOD VENDORS: Please Indicate Your Product Offerings For The 2019 Season *
This includes ALL items you either plan to bring OR MAY BRING AT A LATER DATE
NON-FOOD VENDORS: Please Indicate Your Product Offerings For The 2019 Season *
This includes ALL items you either plan to bring OR MAY BRING AT A LATER DATE
FINAL QUESTIONS
Can you provide proof of business insurance? *
If you are a FARMER, can you provide an Extension Agent Certification? *
If you are a PREPARED FOODS OR SECONDARY PRODUCER, can you provide proof that your products are produced in a licensed commercial kitchen? (documents may be requested) *
Do you or a member of your staff have a Serv-Safe certification or similar documentation from your local Department of Health? (documents may be requested)
Clear selection
Please provide a brief description of your business: *
HOW OFTEN WOULD YOU PREFER TO VEND AT PCM? *
(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 *
Required
PLEASE AGREE TO THE FOLLOWING:
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