Business Name
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Main Contact Name
*
First Name
Last Name
Main Contact Email
*
Main Contact Phone
*
(###)
###
####
Main Contact Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Physical Address (If Different)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Instagram or Other Social Media
You Are An
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Individual(s)
Family
LLC
Partnership
Corporation
List all persons who will represent your business at the market and their contact information. (If this changes throughout the season, please update the Executive Director)
*
How frequently would you like to attend the market?
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Weekly
Bi-Weekly
Monthly
Seasonal - Please Explain
Other - Please Explain
If you selected "Seasonal" or "Other" for the above question, please explain.
Please list other farmers markets or venues where you sell your products.
*
Electricity - There are a limited number of booth locations with access to electricity. If a spot is available would you be interested in having access to electricity?
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Selecting yes does not guarantee a booth location with electricity.
Yes
No
Business License Expiration Date
*
Other Required Licenses & Insurance
*
All vendors are responsible for knowing and acquiring all necessary licenses. Please indicate which licenses you are required to have. Check all that apply. Please email copies to brookhavenfarmersmarket@gmail.com. *Your documents must be received in order for you to be considered.*
Department of Agriculture
Department of Health
Candlers License
Liability Insurance naming Brookhaven Farmers Market as additional insured (required by all vendors)
Other
Number of properties you are growing on. Please include the location and address of each property.
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Total acres in production.
*
Do you own, lease, or manage the land?
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Own
Lease
Manage
How long have you been farming?
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What type of farm products will you be selling at the market?
*
Where do you purchase seeds?
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Do you grow your own transplants?
*
What types of certifications or licenses do you hold for your farm? (Check all that apply)
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USDA Certified Organic
Certified Naturally Grown
Egg Candling License
Cottage Food License
Food Establishment License
Good Agricultural Practices and Good Handling Practices (GAP & GHP) Certificates
Live Plant License
None of the Above
What types of practices and techniques do you utilize on your farm? (Check all that apply)
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Diverse Crop Rotation
Cover Cropping
Habitat for pollinators
Seed Saving
No - till
Compost and/or Animal Manure
Dry Farming
Organic pesticides
Habitat for beneficial insects
Buffer zones
Regular Soil Testing
How often do you test the soil?
*
What, if any, synthetic, chemical or organic pesticides, fungicides or herbicides do you use on your farm?
*
Do you use IPM practices?
*
Yes
No
Describe your IPM methods including detection strategies and materials used.
*
Do you do any foraging of wild edibles? If so, please describe your qualifications for identifying these products.
*
Do you plan to sell any value added items made from raw agricultural products at the farmers market? If so, please list the value added products you plan to sell.
*
All products that you would like to sell during the season.
*
Please indicate you are aware of the following: $50 non-refundable application fee, weekly fees are due at the Market in the form of cash or check & will be collected by the Market Manager. Vendors are required to maintain liability insurance, provide proof of insurance, copies of certificates or licenses. Vendors will be required to provide their own 10x10 tent, table, and tent weights.
*
Yes
Is there anything else about your farm that you would like market management to know?