* First Name

* Last Name

* Business Name

* Phone Number

* Email

* Street Address 1

* City

* State

* Zip Code

* Vendor Type: Check all that apply

Baked Goods, prepackaged following TN Cottage Law requirements
Crafter: Handmade agriculture related
Exhibitor: Blacksmith, Weaver, etc.
Farm - Beef, Pork, Chicken, Lamb (USDA inspected & certified)
Farm - Seasonal fruits, vegetables, honey, etc.
Food Truck - With required permit
Food - With required Farmer's Market Food Unit Permit
Plants, Cut Flowers, Herbs (licensed nursery)
Specialty Drink - With required Farmer's Market Food Unit Permit

* Please describe your products

Farmers: Please choose your growing method:

Certified Naturally Grown
Certified Organic
Conventional

* Are you a PickTN vendor?

No
Yes

* Confirmation

I agree that I am responsible to follow all rules of the Tennessee Department of Agriculture regarding the sale of food and food related products. Any products I may sell that are required by TN law to be inspected and certified for resale are labeled as such.
I agree to sell only those items listed in this Application unless an additional request is granted by the Market Manager at a later date.
I certify that I will grow, produce or make at least 50% of all the products I bring to sell at the Madisonville Farmers & Makers Market
I certify the statements contained in this application are true and complete to the best of my knowledge
I UNDERSTAND FILLING OUT THIS APPLICATION DOES NOT GUARANTEE ACCEPTANCE, NOR RESPONSE and I will only be contacted, by the email I have provided, if I have been chosen.
I understand that, if accepted, falsified statements on this application shall be grounds for loss of booth placement at the market .

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