Joy Almond, Main Street Manager 704-984-9420 jalmond@albemarlenc.gov

Farmers Market Vendor Form 2016

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501 W. 1st St.

Albemarle, NC 28001

WELCOME TO THE 2016 STANLY COUNTY FARMERS’ MARKET IN ORDER THAT WE MIGHT KEEP OUR FILES CURRENT, PLEASE PROVIDE THE FOLLOWING INFORMATION:

____Artisan       ____Farmer        ____Annual Fee Paid          ____ Date

____ Farm Visit           ____ Kitchen Inspected       _____ Banner

NAME: __________________________________________________________

FARM NAME (if applicable)__________________________________________

PHONE# _________________________________________________________

EMAIL ADDRESS__________________________________________________

MAILING ADDRESS: _______________________________________________

CITY/STATE/ZIP: __________________________________________________

PRODUCTS GROWN &/or MADE______________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________

* I have read and understand the Rules and Regulations for the 2016 Stanly County Farmers’ Market. I also understand that failure to comply with the rules will result in suspension or loss of selling privileges at the market.

_____________________________________                      ____________________________________________

Vendor’s Signature / Date                                                   Market Manager’s Signature / Date