2012 VENDOR APPLICATION
________________
Date
VENDOR INFORMATION
_____________________________________________________________________________________
Business/Farm Name
_____________________________________________________________________________________
Address / location where product is produced or crops are grown
_____________________________________________________________________________________
Name of Primary Seller
_____________________________________________________________________________________
Names of Additional Sellers
_____________________________________________________________________________________
Street Address
_____________________________________________________________________________________
City
State
Zip
_____________________________________________________________________________________
Business/Home Phone
Cell Phone
_____________________________________________________________________________________
Website
Email
_____________________________________________________________________________________
Minnesota sales tax ID number if applicable
_____________________________________________________________________________________
What food-related licenses do you currently hold? please attach copies
____YES ____NO Are you a registered Farmers Nutrition Program Vendor?
if no, would you like to participate?
____YES ____NO Do you require electricity at your booth?
See page 3 of this application
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PRODUCT INFORMATION
____YES
____NO Do you grow or produce all your items?
____________________________________________________________________________________
If no, please explain
____YES ____NO Are your items certified organic?
If yes, please attach a copy of your National Organic Standard Certificate as provided by a USDA
accredited agent.
____YES
____NO Do you practice chemical-free farming?
____YES
____NO Are you selling any processed food items?
Please list ALL items you intend to sell at the Northeast Minneapolis Farmers Market. Items not listed
and/or approved by Market staff may not be sold at the market. Attach additional page(s) if
necessary. Artists and Crafters are also required to submit photographs of their items.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
SCHEDULE
PLEASE CHECK ALL SATURDAYS THAT YOU PLAN TO ATTEND THE MARKET
___ ALL 21 WEEKS
___ JUNE 2
___ JUNE 23
___ JULY 14
___ AUG 4
___ AUG 25
___ SEPT 15
___ OCT 6
___ JUNE 9
___ JUNE 30
___ JULY 21
___ AUG 11
___ SEPT 1
___ SEPT 22
___ OCT 13
___ JUNE 16
___ JULY 7
___ JULY 28
___ AUG 18
___ SEPT 8
___ SEPT 29
___ OCT 20
TOTAL # OF WEEKS ___
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FEES
The 2012 vendor fee is $275.00 for the season, $ 150.00 for a half season or $25.00 per day. All fees
must be paid by May 1, 2012 except the daily vendor fee, which must be paid 2 days in advance of the
market day you will be selling your product. This fee includes a 10’ x 10’ space, garbage and restroom
facilities. Vendors must supply their own tables, chairs, canopies, tents, etc. Vendors that require the
use of electricity must pay an additional $25.00
Entire 21-week season ___ $275.00
Partial 10-week season (non-consecutive weeks are okay) ___ $150.00
Daily vendor
___ $ 25.00
Daily vendors, please note: You will be billed if you commit to a Saturday and do not show up at the market.
The $25 per day fee applies regardless of how many market days you attend, i.e. the fees do not cap out if your
annual total exceeds the partial or entire season fees.
Electricity Fee
We have very limited access to electricity.
____YES
____NO Do you require electricity at your booth?
If so, for what? _____________________________________________________
You will need to provide your own electrical cord (approx 50-100 feet).
Electricity Fee
___ $ 25.00
TOTAL DUE BY MAY 1 $_____
I HAVE READ AND AGREE TO ABIDE BY ALL THE RULES AND REGULATIONS OF THE NORTHEAST
MINNEAPOLIS FARMERS MARKET.
Signature:
Date:
Applications due by April 1, 2012. Please pay by check and mail with required forms (see page 4) to
NEFM, 2551 Central Avenue NE, Minneapolis, MN 55418
NORTHEAST FARMERS MARKET MISSION STATEMENT
The Northeast Minneapolis Farmers Market provides a safe, accessible and friendly environment for the community to conduct
commerce and encourage a socialization alternative. The market promotes the sale of locally grown and produced fresh foods,
unique gifts and unusual services otherwise neglected by mainstream businesses. We enhance the livability of the neighborhood
and foster sustainability in the Northeast community.
.
The Northeast Minneapolis Farmers Market is a 501c4 Social Welfare Organization. Contributions of gifts to the Northeast
Minneapolis Farmers Market are not deductible as charitable contributions for Federal income tax purposes.
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2012 PERMITS & LICENSES & INSURANCE
Include with the following applicable forms with your application:
____ MN Department of Revenue ST-19 Form1
(required for all vendors)
____ Certificate of General Liability Insurance2
(required for all vendors, except Clothing and Arts & Crafts)
____ Minneapolis Farmers Licensing Exemption Form 3
(required for the following vendors: Fresh Fruit & Veg; Meat, Eggs, Dairy; Honey, Maple Syrup, Grains;
Fresh Cut Flowers; Nursery Stock; Prepared Foods under the MN “Pickle Bill”)
____ Copy of Minneapolis Market Manufacturer/Distributor License4
(required for Taxable Prepared Foods; Immediately Consumable Foods; Other Non-Taxable Prepared Foods)
____ Nursery Stock Growers Certificate5
(required for Nursery Stock)
____ Other City of Minneapolis Licenses6
(required for Taxable Prepared Foods; Immediately Consumable Foods; Other Non-Taxable Prepared Foods)
1
Form attached. Vendors selling non-taxable items must complete the form and check the box: “I am selling only non-taxable
items.”
2
Form attached. Meat/Poultry Processors, Home Processors, and MN “Pickle Bill” vendors need to contact the Minneapolis
Environmental Health & Food Safety Division at 612.673.3693 and submit a Market Vendor Plan Review before completing the
Farmers Licensing Exemption Form.
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Sample form attached. You are required to carry General Liability Insurance with a coverage limite o f$1,000,000 that includes
products and complete operations coverage. Each vendor is required to suppy a Certificate of Liability (see sample insurance
form) naming Northeast Minneapolis Farmers Market as additional insured. Liability insurance can be purchased through the
Minnesota Farmers Market Association from Stearns Insurance Services. Visit www.MFMA.org for information and
applications.
4
Download application at www.minneapolismn.gov/licensing/WCMS1P-085529
5
Download application at http://www.mda.state.mn.us/licensing/licensetypes/nurseryprogram.aspx
6
Visit http://www.minneapolismn.gov/licensing/index.htm to determine any other licensing your product may require.
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