www.amesfarmersmarket.com - Ames Farmers' Market

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 ________