Vendor Online Application

Name of the Applicant

Name of Farm/ Business

Name(s) of other person(s)/member(s) authorized to represent you at the market

Attach the following certifications if applicable (NCDOR Certificate of Registration Number and/ or NCDOR Sales Tax Exemption Certificate Number)

Mailing address

City/State

Physical address of Farm/Business

Telephone numbers

Website/Blog/Facebook address

Please specify on your application if you plan to sell all year or for a specific season

All season April May June July August September October Rotating schedule (once per month)

Please check all that apply & enclose copies of any licenses or certifications

I will be a weekly vendor and will pay $8 per market day $125 vendor fee enclosed (covers vendor fees for the entire summer market season) I use scales while selling my products (must be Legal for Trade) I require electricity I have a current Meat & Poultry Handler’s License I have a home kitchen or commercial kitchen inspection certificate I have an organic certification certificate I am submitting photos of craft items I authorize posting of my business and contact information on the Rutherford Farmers Market Social Media/Website /or print media

I will be selling the following at Rutherford Farmers Market. Check ALL THAT APPLY

Apple Cantaloupe Pumpkin Potted plants Blueberry Collard Greens Radish Transplants Blackberry Sweet Corn Spinach Honey Nectarine Cucumber Squash-yellow Baked goods Peach Eggplant Squash-zucchini Eggs Plums Garlic Squash-Butternut Handmade items Strawberry Lettuce Squash-Acorn Woodworking Muscadine Grape Mustard Greens Squash Spaghetti Meats Bunch Grape Okra Sweet potato Cut flowers Raspberry Onion Tomatillo Carrots Figs Parsnip Tomato-slicing Herbs Green beans English Peas Tomato-cherry Cabbage Beets Southern Peas/Crowders Tomato-plum Irish potatoes Broccoli Pepper-Bell pepper Turnip Brussels Sprouts Pepper-Hot pepper Watermelon

I agree to a farm inspection by representatives from Rutherford BARN or NC Cooperative Extension to obtain a Rutherford BARN Grower's Certificate

I hereby state that the above information is correct and understand that falsifying this certification may result in losing my privilege to sell at the Rutherford County Farmers’ Market. I also agree to abide by all Farmers’ Market rules and policies.

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