PLEASE PRINT

Name:  ______________________________________       phone(         ) _______________________

 Farm/business name:    ____________________________________________________________

Address:  _________________________________________________________________________

City:  _________________________________________           zip code:  _______________________

County:  ______________________   email:  _____________________________________________ 

Location (directions) to production site.  (Use the back of sheet, if necessary.)

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Please provide a summary of your operation.  (ie., size, retail establishment, wholesale products, farm,                                                                                     farm stand, etc. Use back of sheet, if necessary)   

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Months I plan vend:  (check)    ___  May     ___ June     ___ July     ___ August      ___ Sept.      ___ Oct.

Days  to vend:  (check)    ___  Saturday      ___ Thursday

I am interested in being a     _____ seasonal vendor    or a   _____ daily vendor.

Items to be sold:  (Use back of sheet if necessary.)   ______________________________________

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I certify that the products brought to market are produced or made by me and my family and not items for resale.  (BROKERING IS NOT ALLOWED.)   I agree to to allow the Executive Committee to inspect my production and operation.  I have read and agree to abide by all the rules and regulations set forth by the Ames Farmers' Market Association.  

 Signed:  _____________________________________     Date:  ___________________/08

The Executive Committee reserves the right to limit vendor participation.  All vendors must submit their applications to the Secretary-Treasurer at least one week prior to the proposed first vending date.  If any permits are quired for selling your product (food, tax, etc.) include a copy with this application.  

Send applications and $35.00 member/vendor fee to:  Ames Farmers' Market, 526 Main Street, Suite 103, Ames, IA  50010 phone:  (515) 292-2836.   Checks should be made out to Ames Farmers' Market.  Once we receive your application and check, we will contact you within 24 hours to confirm receipt and discuss further details.  

 

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      President  _______   Vice-President  _______  Treasurer  _______    Secretary _______                annual membership submitted  ________