Vendor Registration

Name:

Street Address:

City:

State:

 ZIP:

Phone:

Email:

 (required)

Business Name:

UBI Number

Items to be sold:

How often do you plan to attend?

Dates when you will not be at the Market

Do you wish to be a voting member?

 No Yes

If returning, how many years at the Market?

Do you have special space requirements or special needs?

Do you wish to be under a permanent canopy?

 No Yes

I understand that the Anacortes Farmers’ Market is not responsible for the damage, loss or theft of the products or equipment that I bring to the market and I hereby agree to hold harmless the Anacortes Farmers’ Market and the Depot Arts Center in the event that any such damage, loss or theft should occur.

I have read the OPERATING GUIDELINES of the Anacortes Farmers’ Market; I understand these guidelines and agree to abide by them. I understand that if I do not comply with all of the OPERATING GUIDELINES I can be denied selling space at the Anacortes Farmers’ Market.

Name (signed):

 Today’s Date:

Paid Membership Date