Interest Form for Lane County Farmers Market

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Please fill out the following information to be considered for our Farmers Market Promotion Program

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E-mail *

Our 2024 application period is now closed.

You can still apply to be a vendor without our grant-supported program by visiting the Lane County Farmers Market Website under the 'become a vendor' tab.

If you would like to be considered for this program next year, please make a note of that at the bottom of this application.

Thanks,

LCFM Staff

Name

Phone Number

Preferred Contact Method

Phone

Name of Business

County of Residence

Type of Business

Farm

Ranch

Plant Nursery

Outro:

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How many years have you been in operation?

What type of product(s) would you like to sell?

If you sell value-added products, do you:

Grow and process them yourself

Grow yourself and use a co-packer

This is not applicable to me

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Would you be interested in a future LCFM program that helps farmers develop and sell value-added products?

Yes

Not Sure

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What is your availability to vend?

Tuesday only

Saturday only

Either/both

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Estimated annual sales

Please select as many criteria that apply to you as an owner/operator:

*LCFM recognizes that not all of our vendors identify under a gender binary. We are using this language to accommodate the guidelines put forth by the USDA to provide assistance to individuals who currently and historically have been subjected to prejudice. We welcome all other gender minorities to also apply.

My farm/ranch is five years old or less

Black or African American

American Indian or Alaskan Native

Hispanic or Latin(o/a/x)

Asian or Pacific Islander

Woman

Other gender minority

Veteran

My farm/ranch has had low income less than $180,300 for each of the past two years AND my household income is below $29,508 annually

Any other information that you would like us to know:

Our next information session is set for Wednesday, January 31st, at 11:30am over zoom.

Please indicate if this date and time works for you. If you are unable to attend, please list at least three dates and times that work for you:

Thank you, we look forward to meeting you!

Please make sure you press "submit" at the bottom of this form. We will send out the zoom link the morning of the meeting via the email address listed above. We will reach out to you for rescheduling if needed.

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