Name of Primary Vendor *

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Is your business part of a franchise?

Yes

No

Vending Options:

Full Season - 26 weeks (May 7- October 29), $500

Partial Season - 10 weeks or more $25/day

Daily – depending on availability, $30/day

Are you interested in additional stall space (double stalls)?

Additional stall space is not always available and must be approved by the Market Manager.

No

Yes - I'll pay upfront for all 26 weeks ($390)

Yes - I'll pay per market ($15/market)

Exemption Code

If you do not have a seller permit number and your sales are tax exempt check the appropriate exemption code:

1 - Exempt sales only or display only

2 - Multi-level marketing company pays sales tax

3 - Nonprofit occasional sales exemption

4 - Exempt occasional sales

Covenant to Hold Harmless *

The vendor, in consideration of participation in the MSFM, agrees to hold Monroe Street Farmers' Market, Inc., Edgewood High School, and their agents, officers, directors, and employees harmless from and against any and all claims, causes of action, demands, debts, damages, judgments, cost or expenses (including attorney fees), or other losses of any nature or kind arising from, related to, or in any manner connected with market activities.

I agree

Affidavit *

I have read the Rules and Policies for the Monroe Street Farmers' Market and hereby agree to abide by them. I also acknowledge that the products I will sell must be of my own production and produced at the location described on my application. I acknowledge full responsibility for all my activities in the market (and for those assisting me) throughout the season’s permit. I acknowledge the authority of the market manager to immediately settle any disputes regarding product legitimacy, procedural, and vendor conduct violations. I agree to allow for inspection of my records or of the premises where the products offered for sale are produced. These inspections will be carried out by the market manager and/or representatives of the market at any time. I understand that the MSM does not carry any insurance policies to cover individual participants and that I assume responsibility for carrying such insurance.

I agree