The Common Ground Market - Poolesville, MD

The Common Ground Market - Poolesville, MD

2018 Farmer's Market Vendor Application
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Farm/Business Name

Mailing Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Which Market Day are you interested in?

WEEKLY (AGRICULTURAL) MARKET on Tuesdays (4-7pm): 5/15/18 to 10/30/18 in Watershed Cafe Parking Lot MONTHLY (ARTISAN) MARKET on Sundays (12-3pm): 4/22, 5/20, 6/17, 7/22, 8/19, 9/23, 10/21 at The Blue Hearth - THIS MARKET IS ARTISAN FOCUSED Both!
Please list all items or crops for sale below. Items not listed may not be sold without the permission of the market staff. Misstatements, willful or otherwise may be grounds for revocation of space at the market.
Each farmer/vendor is responsible for obtaining the appropriate licenses for their products. If you have any questions regarding what permits and licenses you need for particular goods, please email Christina: thecommongroundmarket@gmail.com
- Customers wishing to sell whole uncut fresh fruits and vegetables do not require a license.
- Any customer wishing to provide samples must obtain a Health Department license.
- Farmers who sell meat products must have their animals slaughtered at a USDA approved plant.
- In order to apply for a farm or farmer's market license, an application must be completed and a list of foods provided, along with the location of where food is prepared offsite.
- Non-cottage food sold by non-farmers must be prepared in a commercially licensed kitchen. A copy of the Health License for that facility must be submitted.
Vendor License #
Vendor Fees:

$15 application fee to be paid upon submitting this application. Please send via Paypal to thecommongroundmarket@gmail.com

5% of all sales, to be reported and paid at the closing of each market, in cash or via PayPal.
I agree to follow the County, State, and market rules and regulations, have the appropriate insurance, and that the submitted information is correct and up-to-date. Vendor agrees to hold harmless The Common Ground Market, its affiliates, The Blue Hearth and/or Poolesville Towne Center in the event of injury, theft, death, and related indemnifications.

I agree
Signed (type your full name here)
Should be Empty: