MJ Homegrown Market

Name of Applicant/Vendor *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

(###)

###

####

Cell Phone Number

(###)

###

####

Do you require one vendor stall (12x12ft) or two? *

ONE

TWO

Do you absolutely require your vehicle at your market stall? *

Yes

No

Do you have a preference of where you would like your booth to be placed? *

Yes

No

Are you planning on being at every Saturday Morning Markets? *

Yes

No

Unsure

Are you planning on attending Wed night markets? *

Yes

No

Unsure

Have you been approved by Public Health to sell at the market? If yes, please send in approval in a separate email to mjhomegrownmarket@gmail.com *

Yes

No

Date of application

MM

DD

YYYY