Booth Application

Silverton Farmer's Market            May 12th, 2018 – October 13th, 2018             Vendor Registration

Download Application as printable PDF

Farm/Business Name: __________________________________________________________________

Name(s) of Owner(s): __________________________________________________________________

Mailing Address: ______________________________________________________________________          

City: __________________________           State: ____________________         Zip: _______________

Farm/Business Address (if different): ______________________________________________________

City: __________________________           State: ____________________         Zip: _______________

Daytime Phone: ____________________________                        Evening Phone: ________________________

Email Address: __________________________________  Website: ______________________________

 

Please list all products you plan to sell in some detail. This list will guide the Vendor Selection Committee in determining the mix of vendors at this year’s Market. Attach additional sheets if necessary.

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Please list any/all products you plan to cosign for others:

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There is a chance that not all vendors or products will be approved in a season. The decision of the Vendor Selection Committee is final.

Insurance: Vendors are required to list Silverton Farmers Market as an additional insured certificate holder on their insurance policy with the same limits as the market insurance which is $1,000,000 per occurrence and $2,000,000 aggregate. Please attach a copy of insurance to this application.

Dates: Listed below are the market dates for this year. Please circle any dates you will NOT attend.

May 12                        June 16                       July 21                         August 25                   September 29

May 19                        June 23                       July 28                         September 1              October 6

May 26                        June 30                       August 4                     September 8              October 13

June 2                         July 7                           August 11                   September 15

June 10                       July 14                         August 18                   September 22

You must notify the Market Manager of any changes by 5:00 p.m. on the Wednesday prior to the next market date, or you will be responsible for paying the booth fee.

Licenses: All appropriate licenses are required. You are responsible for bringing copies of your licenses to each market. Some must be posted and the others must be available upon request in order to vend. Please note your current licenses and certifications with expiration dates for each.

Check all that apply and attach a copy of each.

_____ Licensed Kitchen (ODA) exp. _________                  _____ Commercial Kitchen License exp. _________

_____Temporary Restaurant License exp. _________                     _____ Egg Handler License exp. _________

_____ Organic Certification exp. ________                _____ Pre-packaged Meat Seller License exp. _________           

_____ Scale License exp. ________                    _____ Nursery License (cut flowers and plants) exp. ________

 

Booth Fees:

Annual Market Membership Fee ($30.00/year)                                            $30.00             ___________

Weekly 11’ x 11’ Space Fee ($15/week paid 1 week in advance)                  $15.00             ___________

Pre-pay for 10 consecutive weeks and get the 11th week free                      $150.00           ___________

Pre-pay for 20 weeks and get 3 weeks free                                                   $300.00           ___________

                                                                       

                                                                                                                        Total:              ___________

 

I have read the Silverton Farmer’s Market Rules and Guidelines and the ODA Food Safety at Farmers Markets Information and Guidelines documents, and I agree to abide by them and seek clarification if needed. I authorize Silverton Farmer’s Market Association to visit my farm/garden/business and those of any cosigners to resolve compliance questions. My business name and phone number will be available to customers and will be published on the Silverton Farmer’s Market website. I understand that I am required to purchase and show proof of insurance, and hold any required licenses. I agree to indemnify and hold harmless Silverton Farmer’s Market Association and all site owners from and against all liability, claims, losses, damages, and causes of action suits of any nature arising out of or related to my activities at Silverton Farmer’s Market events.

 

Signature(s): ___________________________________________________         Date: ________________

 

Return with $30.00 Association Fee and your first Weekly Fee to:

Market Manager, Silverton Farmer’s Market

PO Box 288

Silverton, OR 97381

Managers: Alyssa Burge 714-357-9569, Stacy Higby 503-779-7206