Vendor Application

Pine River Market Square: a local growers’ & crafters’ market PO Box 314, Pine River, MN 56474 218-206-2455 www.prmarketsquare.wordpress.com email: [email protected] Vendor Application 2009 I am applying as the following kind of member ($25 minimum entitles you to one vote at annual meeting): ____Yearly member for $125 paid by May 29th, or at the time of application. ____I choose to pay for yearly membership in two installments of $65 each, due by May 29th and July 24th. ____Drop-in seller, pay $25 per time to the market manager on duty ____Supporting member of $_____ (must be at least $25) to sell at Community Produce Booth Please provide the following information for all individuals or entities intending to sell from one booth space. Attach additional pages if more than 2 sellers are included in this application.

Seller #1 ________________ Farm/company name____________________ Address__________________ ________________________ Phone___________________ 2nd Phone________________ Email____________________ Website__________________ Approx. miles from Pine River ____ We will list vendors on the Market Square website and blog. Is there any information you wish not to have listed?

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Seller #2 ________________ Farm/company name____________________ Address__________________ ________________________ Phone___________________ 2nd Phone________________ Email____________________ Website__________________ Approx. miles from Pine River ____ We will list vendors on the Market Square website and blog. Is there any information you wish not to have listed?

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Please describe the items you intend to sell

____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Please attach sales tax form ST19 if selling taxable items. I have read and agree to the market guidelines and policies. Signature_____________________________Date______

Please describe the items you intend to sell

____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Please attach sales tax form ST19 if selling taxable items. I have read and agree to the market guidelines and policies. Signature_____________________________Date______