Local Market Stand Application

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Business or Organization Name

Business Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Type of Products You Plan to Sell

Preferred Stand Size

Do you require any of the following utilities?

Have you previously participated in this market?

Business License or Permit (if applicable)

Please list any special requests or additional information