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Grinnell Farmers Market 2024 Vendor Application

We are excited to open the 2024 vendor application for the Grinnell Farmers Market!

Please make sure you fill out all needed information!

If you have any questions please contact Marissa at marissa@getintogrinnell.com or call the Chamber offices at 641-236-6555.

Please read our 2024 Rules & Regulations and fill out and turn in our 2024 and Code of Conduct. and Hold Harmless Agreement. (we also have copies on site at market)

After application has been received chamber staff will send a follow up email providing you a checklist of any additional documentation that will be needed, such as training certificates and/or copy of insurance, etc.

Notice of Photographic & Media Recording: When you attend the Grinnell Farmers Market or a Grinnell Area Chamber of Commerce event, photo, audio, and video recording may occur. By attending this event, you consent to such recording media and your image and likeness being used in connection with the promotion, advertising, and/or marketing of the Grinnell Area Chamber of Commerce, the Grinnell Farmers Market and the Grinnell Community. If you have any questions regarding this policy, please contact the Chamber at 641-236-6555.

* denotes a required field.

2024 Farmers Market Vendor Application

Business Name: *
Applicant Name: *
Address: *
email: *
Phone Number: *
Business Facebook/instagram:
Chamber may share my phone number with customers (Yes or No): *
Chamber may share my email with customers (Yes or No): *
Chamber may share my address with customers (Yes or No): *
Emergency Contact (someone who is NOT at market with you): * Name & Phone Number
Year/Make/Model of car that will be at market: *
Product Variety Offered, Please be specific.: *
Exact location of land used for production (street address and/or description): *
Licenses or Certifications held (i.e organic certified, GAP, etc): Be sure to check the rules and regulations to see if your products require certain certifications or licenses.
Iowa Sales Tax Number:
WIC/FMNP recipent (yes or No): *
Date(s) you would like to attend market- Part time vendors ONLY: please only enter dates you will attend. We will not refund any dates to you, only allow you to shift the dates.
By typing your name you indicate that you have read and agree to the code of conduct per the 2024 Grinnell Farmers Market Regulations: * I agree to the code of conduct agreement

Payment Information

Product Quantity Price Subtotal

Saturday Full Season:

Quantity:

Price:		$113.00

Subtotal:

Thursday- pay per market:

Quantity:

Price:		$17.00

Subtotal:

Saturday- pay per market:

Quantity:

Price:		$12.00

Subtotal:

Total Amount Due:

Billing Information

Credit Card Type: *
Credit Card Number: *
Card Security Code: *	(What is this?)
Expiration Date: *

First Name: *
Last Name: *
Company Name:
Address: *
City / State / Zip: *