P.O. Box 3364
Modesto, CA 95353
(209) 632-9322
FAX (209) 632-9494
Application to Modesto Certified Farmer’s Market
2010
Thank you for your interest in participating in Modesto Certified Farmer’s Market Association. We take pride in offering the public the highest quality products available, while offering small family farms and food/craft “artisans” an enjoyable and varied environment to sell their products. Below is the Application to the Market, documentation inclusive for the Market.
Your
Full Name____________________________________________
Business
Name_____________________________________________
Business
Owner’s Name______________________________________
Street
Address___________________________________ Ste/Apt____
City________________
State_________________ Zip Code_________
Daytime
Phone (Include
Area Code)
(___) _______ Evening (___) ________
Your E-Mail Address_________________________________________
Name
of Lead Employee Sent to Market:__________________________
Employee’s
Address________________________ Phone (___) ________
Application due date for 2010 is March 31, 2010
If there is a space available for your product in our Market, you will be notified as soon as possible.
FARMERS:
q
2009
Certified Producers Certificate
q
Nursery
License, Sellers Permit, if applicable
q
2009
2nd Certificate & Authorization Letter, if applicable
q
Processing
Permit from State Health Department, if applicable
q
Certificate
of General Liability Insurance naming MCFM as Additional Insured
q
Certificate
of Auto Insurance
FOOD VENDORS:
q
Current
Copy of County Environmental Health Permit and/or Food Processor’s Registration
q
Current
Copy of Vehicle Vending Permit from Health Department of County selling in.
q Current Copy of Product
Liability Insurance Policy with MCFM listed as “Additional Insured”
ARTISAN VENDORS:
q
The
Artisan(vendor) must be the producer of the product
q
You
must have a California Resale Number (Seller’s Permit) from the State Board of
Equalization
q
You
must present your crafted items to the Board of MCFM for approval of membership
Modesto Certified Farmer’s Market Product Description(s):
What
product do you sell? Please give a brief detailed description:
Agricultural
Crop(s):
Food
Product(s):
Craft(s):
Yes___ We would like to join MCFM Market dates: 1st
Saturday in May to week prior to Thanksgiving. Off Thanksgiving week. Holiday
Christmas Faire: First 3 Saturdays in December.
Market days: Saturdays & Thursdays each week. Hours:
7 A.M. – 12 Noon. Holiday Hours: 7 A.M.
– 12 Noon. Dickens Faire (1st Holiday Christmas Faire) Hours:
9 A.M. – 3:30 P.M.
If asked to join
the Modesto Certified Farmer’s Market, the Membership fee is $80.00
Stall fee on
Thursdays $15/$20. Saturdays $25/$35
Signature________________________________________ Date____________