STEVENS POINT FARMERS MARKET

PORTAGE COUNTY, WISCONSIN

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Prospective vendors who wish to sell at the Stevens Point Farmers Market can download the contract form in Microsoft Word format, then fill it out and send it to

Dan Mielke, 2550 County Road II Rudolph, WI  54475

Copy and paste  document below, then fill out and send to address above.

Four pages

Stevens Point Farmers Market Application for Seller

Market year: _______

Fill out completely and type or print all information clearly and mail to Dan Mielke, 2550 County Road II, Rudolph, WI 54475.   Make Checks payable to Dan Mielke.  (Do NOT make them out to Stevens Point Farmers Market Association.)

Name of primary vendor

 _____________________________________________________________

Name of Farm business and Name of Person in charge

________________________________________________________________

 ________________________________________________________________

Mailing Address________________________________________________________________

City _______________________ State_______ Zip__________

Phone ( ____ ) ____________________________

E-mail _____________________________________* you will receive information via e-mail unless otherwise requested

Qualified Helper(s)

Name Relationship to Business/Product

1. ____________________________________________________________

2._____________________________________________________________

3.____________________________________________________________

4. ___________________________________________________________

5.____________________________________________________________

Production Information

1. Are you certified organic?  oYes oNo    If yes, list certifying agency

_____________________________________________________________

2. Please briefly describe your production practices (i.e., Conventional farming,  legally organic, biodynamic, IPM, pasture raised, etc.)

_________________________________________________________________________________.

_________________________________________________________________________________.

3. Location of land where crops are grown.  Must be specific so that a board member can find it easily.

 _______________________________________________________________

________________________________________________________________
(NOTE:  if you grow on a piece of land with other growers that are NOT a part of this contract,  be sure to enclose a diagram or map so that the board can determine which garden is yours.) 

 4. Size of growing area:  (acres, or square feet)

___________­_____________________________________________________

 ________________________________________________________________

5. Location, size and number of greenhouses/high tunnels:

______________________________________________________________________________________.

______________________________________________________________________________________.

6. If you process foods or do bakery, give the location of your certified kitchen.

________________________________________________________________

7. If you sell products requiring a license or permit, please list expiration date and provide copies of license/licenses or permits required by law:  Example:  food processing license 

__________________ Nursery license for perennials         

__________________ Processing license for bakery and other processed foods

__________________Sales tax number

 

8. For wild gathered items, state the location where gathered and attach permission of property owner.

 _________________________________________________________________

__________________________________________________________________

9. Do you intend to sell at other farmers markets?   o Yes o No

10. Do you accept WIC produce vouchers?  o Yes o No

THE DEPARTMENT OF REVENUE REQUIRES US TO REPORT THE FOLLOWING INFORMATION.

11. Do you sell flowers or other nonfood products? O Yes   O No   If yes, what is your tax #____________
12. Social Security Number   XXX--XX--  __  __  __  __

NOTE:  Tax number, and Social Security number MUST be the same person that is listed as  the  "vendor in charge".

 

 

 

 

 Affidavit

I have read the rules, regulations and policies as described for the Stevens Point Farmers Market and hereby agree to abide by them. I also acknowledge that the products I will sell must be of my own production and produced at the location described on my application. Note: (Purchasing products from other vendors selling at the Stevens Point Farmers Market and selling them at your stand is also acceptable to fill a void you may have due to crop failure or a unintended produce shortage.  Farmers are still expected to put forth a conscious  effort to grow their own produce.)   I acknowledge full responsibility for all my activities within my stall at the market (and for those assisting me) throughout the term of my permit. I acknowledge the authority of the market manager/managers to immediately settle any disputes regarding product legitimacy as well as procedural and vendor conduct violations. I agree to allow for inspection of my records or of the premises where the products offered for sale are produced.  These inspections will be carried out by the market manager/managers and/or representatives of the market at any time. I understand that the Stevens Point Farmers Market Association does not carry any insurance policies to cover individual participants.

 

Signature: ___________________________________________________

 

Date: ___________________________

Please complete the list of ITEMS FOR MARKET on the next page.

Note:  If you are accepted to sell at the market, you are expected to donate $10 per year for the Farmers Market Association’s operational expenses, publicity and advertising.
In order for us to cash your checks they should be made out to Daniel Mielke 

 Permits shall be issued to those who abide by the rules and guidelines of the Stevens Point Farmers Market Association.

 

 

 

 

 

 

 

 

Items for Market

Beginning in 2012 vendors shall list the amount of each item grown for sale at the market by listing how many feet of row or how many plants. 

Example:

Cabbage

 500 plnts

Leeks

 none

Rhubarb

 75 plnts

Carrots

 1500 ft

Lettuce

 75 ft

Rutabagas

 800 ft.

Items for Market

 Market Year ___________

Produce you intend to grow

Ft of row or number of plants

Produce you intend to grow

Ft of row or number of plants

Produce you intend to grow

Ft of row or number of plants

Apples

 

Garlic

 

Swiss Chard

 

Asparagus

 

Gourds

 

Turnips

 

Bakery

 

Grapes

 

Plants, annuals

 

Beans

 

Herbs

 

Plants, perennials

 

Beets

 

Honey

 

Plums

 

Blackberries

 

Houseplants

 

Potatoes

 

Blueberries

 

Jams/Jellies

 

Pumpkins

 

Broccoli

 

Kale

 

Radishes

 

Brussel Sprouts

 

Kohlrabi

 

Raspberries

 

Cabbage

 

Leeks

 

Rhubarb

 

Carrots

 

Lettuce

 

Rutabagas

 

Cauliflower

 

Meat

 

Shallots

 

Candy

 

Melons

 

Spinach

 

Cheese

 

Mushrooms

 

Sprouts

 

Cherries

 

Peas

 

Squash, summer

 

Cider

 

Nursery stock

 

Squash, winter

 

Corn, ornamental

 

Nuts

 

Strawberries

 

Corn, popcorn

 

Okra

 

Tomatoes

 

Corn, sweet

 

Onions

 

 

Cucumbers

 

Parsley

 

 

Eggplant

 

Parsnips

 

 

Eggs

 

Pears

 

 Crafts

 

Fennel

 

Watercress

 

 Food to be eaten on site

 

Flowers, cut

 

Peppers

 

 Sorghum, syrup/molasses

 

Flowers, dried

 

Beverages

 

 Canned goods