2010 FORT FARMERS MARKET PRODUCERS APPLICATION
PLEASE READ THE MARKET POLICY GUIDELINES BEFORE FILLING THIS OUT
PLEASE RETURN BY APRIL 1, 2010
Regular Season May 29 to October 2 Spring Preview May 8, 15, & 22…Fall Harvest Oct 9, 16, 23 & 30
PRODUCER INFORMATION
Name:__________________________________ Farm/ Organization____________________________Date:__________
Address:_______________________________________________City _________________________ Zip___________
Email:__________________________________________ Cell#:__________________ Home#:__________________
Website:______________________________Seller Permit No._______________________________(ATTACH COPY)
What’s the best way to communicate with you: email_______ mail_______ cell ph________ at market___________
Please take a moment on an extra sheet of paper to share your market goals and how we can help you achieve them.
Please attach a photo(s) of Your Farm/Kitchen/Production Area/Studio/Workshop so that we can help advertise your personal story (Meet our Vendor of the Week) in telling the story of the Fort Market. Please write photo caption(s) here: ____________________________________________________________________________________________________________________________________________________________________________________________________
TYPE OF PRODUCER
The Fort Farmers Market strives for a well balanced offering to our shoppers helping both please their pallet and not over saturating our vendors. Our goal is to have at least 30 SEASONAL vendors committed to being at the market EACH SATURDAY May 29 to October 2 of which 50% is produce/fruit/grains/flowers, 25% Bakery, Jam, Honey, Syrup, Canned Goods, Meat, Poultry Eggs etc, 20% Homemade grooming products, pet products, woodwork, handicraft and/or art and 5% Beverage/Edible Food . An additional 10 DAILY vendors are welcome as space is available on a first come first serve basis, as well as based on the above product ratios. Art Saturdays are the exception when additional vendor spots are available as well as the ratio is expanded to accommodate more artists/artisans.
Please mark the type of producer you would like to be for the 2010 Season:
____Yes, I will participate in the May Spring Preview Markets May 9, 17, & 23 (ATTEND EACH DAY & receive a FREE $10 gas gift card as well as waive any additional fees. If you miss one of the spring preview days, you’ll have to pay a daily fee for the days you do participate and will not receive a gas card).
____Yes, I will participate in the October Fall Harvest Markets October 9, 16, 23 & 30. (ATTEND EACH DAY & receive a FREE $10 of chamber bucks as well as waive any additional fees. If you miss one of the fall harvest days, you’ll have to pay a daily fee for the days you do participate and will not receive the chamber bucks).
I expect to be there in: May ____ June____July____August____September ____ October ____
PRODUCT DESCRIPTION & QUESTIONNAIRE
List products to be sold and provide a brief description (Be Specific or provide brochure with application):
Please CIRCLE all that apply to how you grow your vegetables:
GMO Seeds Heirloom Seeds Pesticides Herbicides All Natural Pest Control Synthetic Fertilizer Organic Fertilizer Crop Rotation I use organic principles I am Certified Organic
Please CIRCLE all that apply to how you grow your fruit:
GMO Plants/Trees Heirloom Plants/Trees Pesticides Herbicides All Natural Pest Control Synthetic Fertilizer Organic Fertilizer I use organic principles I am Certified Organic
Please CIRCLE all that apply to how you grow your plants/flowers:
Heirloom Plants/Flowers Greenhouse Coldframe Growlights Pesticides Herbicides All Natural Pest Control Synthetic Fertilizer Organic Fertilizer I use organic principles I am Certified Organic
Please CIRCLE all that apply to how you create your products:
Local Grains/Flour/Products Organic Grains/Flour/Products Fair Trade Grains/Flour/Products
Home Grown Ingredients (i.e. fruits, eggs, etc) Fort Market Ingredients Local Ingredients Licensed Kitchen
Please CIRCLE all that apply to how you raise/process your meat and/or eggs
Raise own Meat Buy meat from other farmers Medicated Feed Home Grown Feed Certified Organic Feed Hormone Use Antibiotic Use Grass Fed Free-Range Processed within _______ miles of farm
Please CIRCLE all that apply to how you produce your homemade product:
Licensed Kitchen Grow/produce MAIN INGREDIENT Buy MAIN INGREDIENT at Farmers Market/farmstand
Buy MAIN INGREDIENT at grocery store Certified Organic Ingredient Local Ingredient Fair Trade Ingredient
Please CIRCLE all that apply about what materials you use: Recycled/Restored Materials Homemade/grown Materials Store Bought Materials Locally Procured Materials (non-business) Fair Trade Materials Natural Fibers/Materials
PRODUCER PARTICIPATION
We are looking forward to assisting you in your market efforts. Please review these opportunities and mark YES or NO.
____Yes I will attend the Pre-Market Informational Meeting on WEDNESDAY April 7,2010 at 5:30pm at the Chamber
____No I will be unable to attend, please see my attached suggestions.
____Yes, I would like to purchase a Fort Atkinson Farmers Market Sellers Apron for $5 (originally $15 subsidized by the Fort Atkinson Chamber of Commerce). Please contact me about color choices.
___ Yes, I would like assistance with displaying items including interesting signs, labels, etc. Please send more info
___ Yes, I’m interested in helping do extra programming at the market including: FEATURED RECIPES, DEMONSTRATIONS, KID FOCUSED ACTIVITIES, EDUCATIONAL INFO, ETC.
I, _________________ have read and understand the policies and procedures as described for the Fort Atkinson Farmers Market and hereby agree to abide by them. Further, I agree to SELL ONLY THOSE ITEMS as listed in the Policies & Procedures. I further acknowledge full responsibility for all my activities (and those assisting me) in the Farmer’s Market throughout the term of this permit. I understand that violations of these Policies & Procedures may result in my being barred from further consideration. I also understand that the Fort Atkinson Area Chamber of Commerce and the City of Fort Atkinson does not carry any insurance policies to cover individual participants and that I am hereby advised to consider carrying my own personal liability and product liability policies. The FAACC reserves the right to modify the policies as needed at any time. Seller agrees to indemnify and hold the FAACC and the City of Fort Atkinson harmless from any and all claims and liabilities.
Signature:_________________________________________________________________ Date:_____________________
Return to: Cynthia Holt Chamber of Commerce 244 N. Main St. Fort Atkinson, WI 53538 Ph: (920) 563-3210