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Friday at the Flats Application 2019

  1. What is your preferred method of communication?*

  2. Identify the primary product category that best represents what your business will sell:*

  3. (Please list all products, and be specific. If you plan to resell any products, please provide names and contact information for all farms or businesses where you will be purchasing these products)

  4. Check all boxes below that describe your operation and production practices: (*By USDA definition)*

  5. Please write a short biography/story (5 sentences), such as your mission, production practices, history, etc. that we can place on the website/Facebook to promote your business.

  6. Are you interested in participating in other special events?*

  7. Please check the dates you would like to apply to participate in at the market below:*

  8. Select each line item to which you agree; leave blank those to which you do not agree (not applicable to your farm or business):*

  9. Electronic Vendor Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. By signing below, you certify that the information provided on this application is true and accurate and pledge that, as a vendor of the Portage Farmers' Market, you will abide by the Portage Farmers' Market Rules and Guidelines.

  10. For Portage Parks and Recreation Staff ONLY

  11. Leave This Blank:

  12. This field is not part of the form submission.