Booth Application

Silverton Farmer's Market            May 13th, 2017 – October 14th, 2017             Vendor Registration

Download Application as printable PDF

Farm/business name: ____________________________________________________________________

Name(s) of owner(s): _____________________________________________________________________

_______________________________________________________________________________________

Mailing address: ________________________________________________________________________

City:___________________________ State: _______________________ Zip: ______________________

Farm/business address (if different): _______________________________________________________

City:___________________________ State: _______________________ Zip: ______________________

Daytime Phone(s): ____________________________ Evening Phone: ____________________________

Email address: __________________________________________________________________________

Website: _______________________________________________________________________________

Please list all products you plan to sell in some detail.  This list will guide the vendor selection committee in determining the mix of vendors at this year’s market: ________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

Please list any/all products you plan to consign for others: ________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

There is a chance that not all vendors or products will be approved in a season.  The decision of the Vendor Approval Committee is final.


Dates:  Listed below are the market dates for this year. Please circle any dates you will not attend.  

You must notify the market manager of any changes by 5:00 pm on the Wednesday prior to the next market date, or you will be responsible for paying the booth fee.


May 13     May 20      May 27      June 3    June 10      June 17      June 24     July 1     July 8        July 15       July 22       

July 29    Aug. 5    Aug. 12     Aug. 19       Aug. 26   Sept. 2   Sept. 9     Sept. 16      Sept. 23    Sept. 30   Oct. 7    Oct. 14       

Oct. 21

 

Licenses:  All appropriate licenses are required. You are responsible for bringing copies of your licenses to each market. Some must be posted and the others must be available upon request in order to vend.  Please note your current licenses and certifications with expiration dates for each.  Check all that apply and attach a copy of each.


___ Licensed Kitchen (ODA)   exp. _________              ___ Commercial Kitchen License   exp. _________

___ Temporary Restaurant License   exp. _________                  ___ Egg Handler License   exp. _________

___ Pre-packaged Meat Seller License   exp. _________            ___ Organic Certification   exp. _________

___ Scale License   exp. _________             ___ Nursery License (cut flowers and plants)   exp. _________

 

Booth Fees:

Annual Market Membership Fee ($30.00/year) -                                            $ 30.00                        $30.00

Weekly 11’ x 11’ Space Fee ($15.00/week paid one week in advance) -        $ 15.00                      ________

Pre-pay for 10 consecutive weeks and get the 11th week free -                     $150.00                      ________

Pre-pay for 20 weeks and get 3 weeks free -                                                   $300.00                      ________

                                                                                                                                                   Total:  ________

I have read the Silverton Farmer's Market Rules and Guidelines and the ODA Food Safety at Farmers Markets Information and Guidelines 

documents, and I agree to abide by them and seek clarification if needed.  I authorize Silverton Farmer's Market Association to visit my 

farm/garden/business and those of any consigners to resolve compliance questions.  My business name and phone number will be available 

to customers and will be published on the Silverton Farmer's Market website.  I understand that I am required to purchase and show proof 

of product liability insurance if I sell potentially hazardous foods or processed foods.  I agree to indemnify and hold harmless Silverton 

Farmer's Market Association and all site owners from and against all liability, claims, losses, damages and causes of action suites of any 

nature arising out of or related to my activities at Silverton Farmer's Market events.

Signature(s) __________________________________________________   Date _________________

 

Return with $30.00 Association Fee and your first Weekly Fee to: 

Market Manager, Silverton Farmers Market, PO Box 288, Silverton, OR 97381

Alyssa Burge: 714.357.9569              Stacy Higby:  503.779.7206