COXSACKIE FARMERS' MARKET
VENDOR INFORMATION FORM – 2018
Date: ______
Name: ______
Business Name: ______
Address: ______
Tel (home): ______Tel (work): ______
Email: ______
Web site: ______
Accepts Farmer Market Nutrition Program Coupons: Yes _____ No _____
Vendor Description: (please use back of page for any additional information)
______
______
Employee names:______
Emergency contact: ______
Listed below are the dates the Coxsackie Farmers’ Market will be operating for the 2018 season. There is a $10 charge per (10x10) space per week. A full season charge for one space will be $220.00. A full season 10x20 space would be $440.
May 16May 23
May 30
June 6
June 13
June 20
June 27 / July 4
July 11
July 18
July 25
August 1
August 8
August 15 / August 22
August 29
September 5
September 12
September 19
September 26
October 3
October 10
Send completed forms to: Village of Coxsackie, Farmers Market, c/o Village Clerk, 119 Mansion Street Coxsackie, NY 12051
COXSACKIE FARMERS' MARKET- Product Information Form 2018
I, ______(vendor name) have provided a crop plan in the space below or attached to the application listing all items that I intend to bring to the Coxsackie Farmers' Market in the 2018 Season. I certify that all are grown or produced according to the Coxsackie Farmers' Market Rules and Regulations.
Signed______Date______
BAKED GOODS:
ANIMAL PRODUCTS: / PREPARED FOODS:
PLANTS:
OTHER:
COXSACKIE FARMER'S MARKET
Membership Application
I, -______, hereby apply
(Print Name)
to the VILLAGE OF COXSACKIE ("the Sponsor") for annual membership in the COXSACKIE FARMER'S MARKET for the current marketing season.
As a member of the COXSACKIE FARMER'S MARKET, I agree that prior to offering my products for sale at the COXSACKIE FARMERS’ MARKET, that I am/will become familiar with the MARKETS’ Rules and Regulations and agree to comply with the provisions of said Rules and Regulations.
As a member of the COXSACKIE FARMER'S MARKET, I agree to pay
the Sponsor the daily marketing fees ($10 for each 10x10’ space) in advance for the season, as required by the Sponsor.
Signed: ______
Dated: ______
Vendor Name: ______
Address: ______
Please send completed forms by February 1st to:
Village of Coxsackie Farmers Market, c/o Village Clerk, 119 Mansion Street Coxsackie, NY 12051
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APPLICATION for membership in the COXSACKIE FARMER'S MARKET is accepted by the VILLAGE OF COXSACKIE for the current marketing season as of this date.
Signed: ______for the Sponsor VILLAGE OF
COXSACKIE
Date: ______
VILLAGE OF COXSACKIE
119 Mansion Street, Coxsackie, New York 12051
COXSACKIE FARMERS’ MARKET
Hold Harmless Agreement
AGREEMENT made this ______day of ______, 2018
Between ______and the
(Name of Vendor)
VILLAGE OF COXSACKIE for the COXSACKIE FARMERS’ MARKET.
I, ______, shall indemnify and agree to hold harmless the VILLAGE OF COXSACKIE and the COXSACKIE FARMERS’ MARKET from and against all liability, damage, expense, cause of action, suits, claims, penalties and/or judgments arising from injury to person sustained by anyone as a result of consuming any food or drink acquired from me, use of any item purchased from me, or from any negligent action on my part.
Signed ______
Address ______
______