Vendor Application
2022 Pontiac Farmers Market

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Name of Business
What best describes your business
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Your Name
Phone Number
Full Address
Email Address
List Products to be sold / Information to be shared
Website or Social Media Page
Location of Farm or Business (if different from above)
Michigan Sales Tax License No. (if Required)
Will you need access to electricity for your display?
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What market dates for the 2022 season are you interested in. (Choose as many as you like)
We require a copy of insurance for all vendors. Is your business insured?
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I certify that the above information is correct and accurate. I understand that if I am approved as a Vendor at the Farmer's Market, I agree to submit proof of insurance and sign a separate agreement outlining the terms and conditions of participation.
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Print Name for Electronic Signature
Date
MM
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DD
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YYYY
Submit
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