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