AMADOR FARMERS MARKET ASSOCIATION

Application to Sell

I request permission to sell at the AMADOR FARMERS MARKET. I agree to:

1. abide by the guidelines of the Market and all other laws, codes and regulations as required,
2. to cooperate with Market Management and pay all required fees, and
3. to notify the Market Manager immediately of any changes in the information given by me on this application.

Signed: Date:

At this time I am also applying for membership in the AMADOR FARMERS MARKET ASSOCIATION.

I will mail a check ( to the address below ) for the annual Association membership fee of $50, renewable by May 1st of each year.

Signed:    Date:

Contact name:

Farm Name (if any):   County:

Address:

Email address:

Phone:   Cell phone:

Names of family members or employees who may sell for you:

Certified Producer?  Yes   No  Certificate No.   County:

Will you be selling “Organically Grown Produce”?  Yes   No

            Organic Producer Registration No.: County:

            Health Dept./USDA Permit No.:   County: CO.

Resale ID number (if applicable):

Are you willing to share a stall with another producer?  Yes   No

I plan to sell from:

Table    Size:

Vehicle   Size:

Tent    Size:

I will require more than one stall space:  Yes   No   If yes, how many:

I will participate on Wednesdays in Pine Grove:  Yes   No

I will participate on Saturdays in Sutter Creek:  Yes   No

I will participate on Sundays in Jackson:  Yes   No

I will participate on Thursdays in Plymouth for the fundraiser:  Yes   No

Additional needs, comments, or explanations:

List items you plan to sell and when:

AMADOR FARMERS MARKET ASSOCIATION

P.O. Box 1543, Jackson, CA95642