F: Food Vendor Application

Food Vendor Application

Thank you so much for your interest in becoming a Putnam Farmers Market Vendor. Please fill out the form below. It will then be sent electronically to the Putnam Farmers Market Board for review. If you have any question, please contact us here.

* Indicates required field

Farm/Business Name *

Contact Person Name *

First

Last

Spouse/Partner Name *

First

Last

Website *

Social Media Address *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

1) What items do you intend to sell at the Putnam Farmers Market?

* Crafts must be judged on a category basis by the Board before being admitted to the Market

2) Are these items grown and/or handmade by yourself, your employees, or someone in your family? If no, please explain: *

3) Please provide directions to the location where your crops are grown and/or food is made: *

4) Fruit and vegetable producers: Are you any of the following? *

Certified Organic Practice Organic Traditional Transitional

Other certification or noteworthy growing practices? Please explain: *

5) Please provide a short promotional description of your farm: *

_ *

I DO I DO NOT

… give PFM permission to use my information for PFM promotional purposes.

Agreement to Market Rules and Bylaws: By signing below, I acknowledge that I have read all rules and bylaws of the Putnam Farmers Market and understand them fully. I agree that I (and my business partners, employees, and associates) will abide by the Putnam Farmers Market rules and bylaws. I agree to the penalties, fines, and grievance policies outlined in the PFM rules and bylaws.

Indemnification and Release of Liability: By signing below, I agree that I, (and my business partners, employees, and associates) (hereafter, “Vendor”) agree to release and hold harmless from all liability the Putnam Farmers Market Association & the Putnam County Parks and Recreation Commission, and their agents, employees, board members, or officers (hereafter “PFM & PCPRC”) from any personal injury claims or property loss claims that may arise as a result of my membership and participation in the Putnam Farmers Market. Vendor waives, releases, and discharges any and all claims against PFM &PCPRC for damages, personal injury, death, financial loss, or property damages that may occur or accrue as a result of activity at the Putnam Farmers Market. Vendor accepts all responsibility and liability for adherence to any external regulations applicable to the Vendor product, and the Vendor releases and holds harmless from all such liability the PFM & PCPRC for any claims that may arise due to the Vendor failing to comply with such external regulations.

Signature Name *

First

Last

Date *

Please remit your member application fee $50 to:
Putnam Farmers Market, 971 WV RTE 34, Suite 12, Hurricane, WV 25526.

Putnam Farmers’ Market does not discriminate on the basis of race, color, religion, sex, national origin, age, marital or veteran status, political affiliation, handicapped status, or any other legally protected status.

Submit

Food Vendor Application

Location & Hours

Vendors

Vendor Sign Up