Riverside
Certified Farmers Market
*
Application for
Market Participation
*
209.955.0949
*
Completion of Market
Application is for information gathering purposes only; it does not
grant nor guarantee
market participation.
Certified Producers will be contacted
by the Executive Director for a personal interview,
which may require a
production site inspection
prior to approval. It may take several weeks
before you are contacted for
the interview. Please attach a copy of CPC.
*
*
*
Name_______________________________________________________________________
Date __________________
*--
DBA (if any)
________________________________________________________________________________________
*
Address
__________________________________________________________________________________________
City_________________________________
Phone________________________
Mobile___________________________
*
Email____________________________________________________________________________________________
*
Please check one:
*
_____certified producer
_____artisan _____local business _____food
*
Estimated time period
_________________________________________________________________________________
*
Space size: *10' *15'
*20' *Type of
vehicle_____________________________________________________________________
*
Will you have other people
selling for you? If yes, their names
_______________________________________________________
*
Farmers' Market that you have
or currently participate
in:__________________________________________________________
*
________________________________________________________________________________________________
*
Are you selling for another
producer? If yes, their
name(s)_________________________________________________________
*
Their CPC # and issuing
county___________________________________________________________________________
*
Items that you will be
vending/selling, please be very specific!
*
________________________________________________________________________________________________
*
________________________________________________________________________________________________
*
________________________________________________________________________________________________
*
________________________________________________________________________________________________
