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Vendor Application
Become a Market on Market Vendor
Fill out the form below to apply a to be a vendor of Market on Market.
Step
1
of
7
14%
Vendor Information
Vendor Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Primary Contact
(Required)
First
Last
Phone
(Required)
Phone (Alternate)
Emergency Contact
(Required)
First
Last
Emergency Contact Phone
(Required)
General Category
Vegetables/Fruits
Meat/Fish
Dairy
Baked Goods
Plants/Flowers
Seafood
Artisans
Specialty/Gourmet
Prepared Foods
Other
Products for Sale
(Required)
Please list the products you intend to sell. Additional products not listed on the application must be approved prior to being offered for sale. Please be specific i.e., grass-fed beef v. beef, free range, non-GMO fed eggs v. eggs, etc. (This information helps us in marketing your products). Please refer to the Market on Market Guidelines for requirements.
Product
% of Your Stand
Months Available
Add
Remove
Resell/Outside Vendor Products for Sale
(Required)
If you intend to resell/carry another vendor’s products, please specifically list the vendor(s) from which the products will be sourced, specific items, percentage of total stand, and months available.(See MoM Guidelines).
Product
% of Your Stand
Months Available
Add
Remove
Producers
List location(s) where products(s)are made (within 100-mile radius) if different than the address listed above. ITEMS MUST BE MARKED.
Add
Remove
Licenses and Certifications
Please check all that apply to your farm in connection with the products you intend to sell at the market and enclose a copy of your current license (s) with this application
Apiary License
USDA License
Wholesale Registration Frozen Dessert License
Poultry Processing under PL 90-492 in your possession
Not Applicable - 100% Raw Agriculture
Other
Other: Please specify
(Required)
USDA License #
(Required)
File Upload
Upload any applicable licenses and certifications.
Drop files here or
Select files
Accepted file types: jpg, png, pdf, Max. file size: 128 MB, Max. files: 8.
Farming Practices
USDA Certified Organic
AWA Certified
IPM
Naturally Grown
Food Alliance Humanely Raised
Other
Other: Please specify
(Required)
Insurance
Does your farm carry liability insurance that covers $1M per occurrence/$2M in the aggregate? Upon acceptance you will be required to submit a Certificate of Liability Insurance in accordance with the insurance requirements set forth in the Market on Market Guidelines.
Yes
No
Marketing
(Required)
Please include a description of your product/business. We want to do our best to promote your business as part of the market. Feel free to include a link.
Website
Facebook
Instagram
Do you offer an educational program?
(Required)
Yes
No
I'm Interested
Are you able to take electronic transactions?
(Required)
Yes
No
Do you accept FMNP or SFMNP vouchers?
(Required)
Yes
No
Legal Disclaimer
(Required)
By checking this box, I certify that all information contained herein is true and correct and that I am the producer of the items listed in “Products for Sale”. By checking this box, I certify that I have read, understand, and will adhere to all guidelines in the 2023 Market on Market Operating Guidelines document. I further understand that should I fail to comply with said Guidelines, my participation in Market on Market could be terminated. By checking this box, I at this moment agree to indemnify and save Market on Market, Camp Hill Borough/Downtown Camp Hill Association, and Trinity Lutheran Church harmless from any loss, cost, damages, and other expenses, including attorneys’ fees, suffered or incurred by Market on Market or by Camp Hill Borough because of the vendor’s negligence or that of its servants, agents, and employees; provided that the vendors shall not be responsible nor required to indemnify Market on Market for the negligence of Market on Market, it’s servants, agents, and employees.
I agree
