Contact Name *

First Name

Last Name

Type of goods to be sold (check all that apply) *

Agricultural products; value-added products with majority of ingredients produced by vendor Prepared Food: Hot/cold food and beverage products; value- added products made with locally sourced ingredients.

Agriculture

Prepared Food

Crafts

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Physical Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone/Text

(###)

###

####

Alt Phone

(###)

###

####

I would like a link to our website/Facebook page to be listed on the WRFM website

Yes

I hereby apply to become a vendor in the West River Farmers Market for the current year. *

As a vendor of the West River Farmers Market,I have read the ‘Market Rules & Vendor Agreement’ document and agree to comply with the provisions of these documents. I understand that I am responsible for any licensing or certification required for my products to be sold at the West River Farmers Market. I further agree to pay the market both the annual application fee and the space rental fees as required.

Check here if you agree.

Product Liability Release *

The West River Farmers Market is covered by a limited liability insurance plan. The insurance does not cover product liability for individual vendors. I understand the individual product liability is my responsibility. I do hereby release the West River Farmers Market, its Board of Directors, and Market Manager from liability due to my product(s). I have read and agree to the Market Rules & vendor Agreement of the West River Farmers Market.

Check here if you agree.

Mail $25 vendor application fee *

I agree to mail my non-refundable $25 application fee to: West River Farmers Market PO BOX 608 Londonderry, VT 05148 Make Checks payable to: West River Farmers Market

Click here if you agree to mail your $25 application fee.