2017 Application to Sell

2017 Application to Sell Alexander County Farmers' Market

Name(s)______Telephone #______

Mailing Address______

Farm Name______

Farm or Business Address (If different from above)

______

County______

Please draw a map with directions to your farm or business on the back of this form if you have not done so on a previous year's application.

If applicable, give name of seller(s) other than yourself who will be selling your produce and/or merchandise:

Date you plan to begin selling______

I acknowledge that I have been provided with a copy of the policies governing the operation of the market and that I will abide by these policies. I further agree to allow representatives of the market to visit the premises where the products I intend to sell are produced. I agree that I will sell only my farm products or an agent acting on my behalf at the Alexander County Farmers' Market.

______Signature Date

Applicants, do not write below this line Application Received By:______Date______Annual Selling Fee Received By:______Date______Site Visit Made By:______Date______Application Approved To Sell At The Market And The Applicant May Begin Selling On:______Application Denied For the Following Reasons: ______