CSA Farmers Market Producer Application
Everyone Fills This Section
Farm Name
Grower Name
*
Address
*
City
*
Zip
*
Phone
*
Phone Number
-
Area Code
Phone Number
Cell Phone
email address
*
E-mail Address
Website
Section A
SECTION A....Farms Please Complete this section
Location of farm
(give address if other than that above and directions to farm)
Describe your growing practices
Please Select
Certified Organic
Certified Naturally Grown
Organic Transistion
Grows Organically
Organic Exempt
Organic Transistion
Other
How Long have you been using these practices?
Please Select
1-2 years
3-4 years
5-10 years
10 or more years
If other please explain.
What products does your farm/business produce, that you would like to sell through CSA Farmers Market.
(We may not approve all items for sale on our website)
Do you have or need a license for anything you produce?
Please Select
Yes
No
Not sure
What livestock does your farm produce?
Beef Cattle
Dairy Cattle
Goats
Sheep
Eggs (chickens, ducks etc.)
Poultry Meat (chickens, ducks, geese, turkey etc.)
Emu or Llama
Other
What Methods do you use in livestock production?
Pastured
Grass Fed
Fed organic feed
Grain Fed
Other
Where is your livestock slaughtered & processed.
Is that facility inspected to allow for individual piece retail sales (USDA)?
Please Select
Yes (can be sold in a grocery store)
No (can only be sold to individuals)
Not sure
Section B
Producers wishing to join as partners to CSA Farmers Market complete the following:
SECTION B..... Producers wishing to join as partners complete this section
Do you have access to internet and good internet skills?
Please Select
Yes
No
Are you able to deliver ordered products at the appropriate times?
Please Select
Yes
No
Currently Thursday Morning 8:00 am subject to change
Are You Currently Selling at a Farmers Market?
Please Select
Yes
No
If Yes which one/ones?
If you plan to continue at those markets, are you willing and able to take customers orders from CSA Farmers Market for pick up there?
Please Select
Yes
No
Are you willing to promote CSA Farmers Maket with your own customers, at the farmers markets and at events you attend?
Please Select
Yes
No
Are you willing and able to do your share of work for CSA Farmers Market to keep the market operational?
Please Select
Yes
No
Not Sure
(May include packing orders, office work or delivering orders)
If not able to contribute hours to the operation of CSA Farmers Market, are you willing to sell items to the market at reasonable wholesale rates?
*
Please Select
Yes
No
Are you willing and able to help at events or farmers markets that CSA Farmers Market registers for?
Please Select
Yes
No
Not Sure
[You may sell you product at these markets or events (not all events allow sales)]
What is a good time for a farm visit?
Section C
Those wishing to sell wholesale to CSA Farmers Market please complete the following:
SECTION C..... Those wishing to sell wholesale complete the following
How do your products get to us?
What is the approximate mark-up percentage of the suggested retail price?
Please Select
>30%
30-40%
41-50%
51-70%
<70%
(example item sells for $1.00 you sell it to us for $.70 that would be 30%)
Section D
Value added producers, whether wholesale or partners, please complete the following*:
SECTION D......Value added producers, wholesale or partners, complete this section
Are all ingredients from approved sources?
Please Select
Yes
No
What percentage is organic ingredients?
Please Select
>20%
20-50%
50-70%
70-100%
List Source of ingredients
(Michigan, US, imported)
What products do you want to sell us?
What type products and what storage is required for them?
(frozen, canned, etc)
What is the shelf life of your product?
Notes
Other notes not covered in questionaire.
* Items produced under the Michigan Cottage Food Law are not eligible for sale in this market.
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