Producers Application for Permission to Sell

Date:

IL Sales Tax License # :

Business Name :

Owner :

Bus. Phone # :

Cell #:

Mailing Address:

Email Address:

Website:

Physical Location If Different Than Above :

Items of Production for Sale :

Affidavit

  I agree to sell or offer for sale at the Barrington Farmers Market, only such items as listed above, and that they are of my production at the above described property. Further, I acknowledge full responsibility for all activities and conduct. I also affirm that I carry an insurance policy that will protect against liability and that I must submit a copy thereof as well as carry proof of said insurance when attending the Barrington Farmers Market. I understand that all applications to sell are considered for review by the Farmers Market Committee and can be denied or accepted in partial or in full upon discretion of the committee.

      
Full Name Date

Will you be attending all markets? If not, why?

Producer History (New Vendors)
Family owned & operated? Founded when? What other markets do you attend?