VENDOR APPLICATION

2013 Vendor Application

P.O. Box 337, Lakefield, ON K0L 2H0 www.lakefieldfarmersmarket.net info@lakefieldfarmersmarket.net

Applicant Information

Vendor Name: *

Business Name:

Email: *

Telephone: *

Current Mailing Address

Address: *

City: *

Province: *

Postal Code: *

Please indicate if you are able to help the market in any way:

Yes, I would like to help!

No, I am unable to help at this time.

If yes describe how:

Stall Type

Full Season

Full Season Stall:

Yes

$200/season (May 16- Oct 10, 2013)
$25 Annual Membership Fee
Voting Rights

Having a full season stall indicates that you are committed to being at the market each week that it is in operation

Please submit $225.00

Pro-Rated

Pro-Rata Stall:

Yes

8 weeks or more
$13/week
$25 Annual Membership Fee
Voting Rights

Preferred Start Date:

Preferred End Date:

# of Weeks:

Please submit: ( x $13) +

$25 =: $25 =

Daily

Daily Stall:

Yes

up to 4 weeks
$20/week
$10 Annual Administrative Fee
No Voting Rights

Preferred Dates:

Insert your preferred start date. We will contact you regarding scheduling of other dates.

# of Weeks:

Please submit: ( X $20) +

$10 =: $10 =

Market Manager Use Only

Payment:

Rcvd

Amount:

Payment Method:

Cash

Cheque

Cheque #

#: #

Date:

Vendor Type: *

Agricultural Vendor

Prepared Food Vendor

Artisanal Vendor

Please classify yourself as one of the following vendor types and describe your product by clicking on the appropriate category

Agricultural Vendors

Please provide the following information

Farm Address (if different from mailing address):

Please specify which agricultural products you will be selling under the following headings:
(Please note that you may only sell those agricultural products that you grow or produce yourself—no reselling is permitted)

Vegetables

Vegetables 1:

Vegetables 2:

Vegetables 3:

Vegetables 4:

Meat

Meat 1:

Meat 2:

Meat 3:

Meat 4:

Fruit

Fruit 1:

Fruit 2:

Fruit 3:

Fruit 4:

Hive Products

Hive 1:

Hive 2:

Hive 3:

Hive 4:

Other

Other 1:

Other 2:

Other 3:

Other 4:

MyPick® Verification:

Yes

(this is required, see www.mypick.ca for application and details)

For Market Manager Use Only

Date Applied:

Date Verified:

Organic Certification

Certifying Body: Certifying Body

Certificate #: Certificate # Date of Last Certification

Date of Last Certification:

(This is required if you wish to make organic claims about your product)

Prepared Food Vendors

Please provide the following information

Kitchen Address:

(if different from mailing address)

Food Products to be Sold:

Please note that all of your food products must be made by you. Reselling is not permitted

Local Agricultural Ingredients

Please specify which of your food products have local agricultural ingredients by completing the following:

Your Food Product

Product 1:

Product 2:

Product 3:

Product 4:

Product 5:

Local Agricultural Ingredient

Ingredient 1:

Ingredient 2:

Ingredient 3:

Ingredient 4:

Ingredient 5:

Farmer Name and Telephone #

Farmer 1:

Farmer 2:

Farmer 3:

Farmer 4:

Farmer 5:

Please note that not all of your products/ingredients must be local but the more the better!

Inspection Report

County Health Unit Kitchen Inspection Report:

Yes

(This is required, call 705-743-1000 to request an inspection in Peterborough County)

A copy of your up-to-date inspection report must be submitted to the Market Manager before you can sell at the market

For Market Manager Use Only

Date of last inspection:

County:

Food Handle Course

Have you attended a Food Handlers Course?:

Yes

Date Attended:

Organic Certification

(This is required if you wish to make organic claims about your product)

Certifying Body: Certifying Body

Certificate #: Certificate # Date of Last Certification

Date of Last Certification:

Fair Trade

Do you sell Fair Trade Coffee/Tea Products?:

Yes

Supplier Name:

Artisanal Vendors

Please provide the following information

Please specify what type of artisanal product you will be selling:

Note that only artisanal products that you have made yourself are permitted at the market. Reselling is not permitted

If you are using natural or recycled material in your product, please list them below:

Artisanal Products

Artisanal Product 1:

Artisanal Product 2:

Artisanal Product 3:

Artisanal Product 4:

Artisanal Product 5:

Artisanal Product 6:

Artisanal Product 7:

Artisanal Product 8:

Artisanal Product 9:

Local Natural Material

Local Material 1:

Local Material 2:

Local Material 3:

Local Material 4:

Local Material 5:

Local Material 6:

Local Material 7:

Local Material 8:

Local Material 9:

Recycled Material

Recycled Material 1:

Recycled Material 2:

Recycled Material 3:

Recycled Material 4:

Recycled Material 5:

Recycled Material 6:

Recycled Material 7:

Recycled Material 8:

Recycled Material 9:

All artisans’ products will be juried. Please prepare a portfolio (either photos or select actual objects) for the 3-member jury to evaluate. You will be contacted at a later date to provide the portfolio to the market manager for this purpose.

Market Manager Only

Vendor Contacted:

Portfolio Rcvd:

Terms

Please submit this application and send the full payment, including membership to:

Lakefield Farmers' Market, OR Email: info@lakefieldfarmersmarket.net
P.O. Box 337, Lakefield, ON K0L 2H0.

Cheques should be made payable to: Lakefield Farmers' Market and should be dated no later than April 30, 2013.

Note: Submitting an application to the Lakefield Farmers' Market does not guarantee a place in the market. The market management team reserves the right to choose vendors who fit most closely with the vision of the market to provide high quality, locally-produced food and artisanal wares to our customers. Unsuccessful applicants will have their fees returned to them in full. Applicants who have been accepted to the Lakefield Farmers' Market and wish to withdraw part way through the season will not be reimbursed.

Eligible new vendors will be selected on a first-come, first served basis until market stalls are full.

Established vendors have first right of refusal at their previous stalls. New vendors will be assigned a stall based on availability and the best interests of both the Lakefield Farmers' Market and the vendor.

Vendor Declaration

I declare that the information that I have provided is true and accurate and that I have read the Lakefield Farmers' Market Vendors' Handbook and agree to abide by its rules and regulations. I understand that the Lakefield Farmers' Market is meant primarily to be a market for local producer-vendors and re-sellers are not eligible for membership.

Signature of applicant (full name):

Date: *

November 5, 2010
Lakefield Farmers’ Market