2018 Winter Minnetonka Farmers Market Application

Transcription

1 2018 Winter Minnetonka Farmers Market Application Date: Time: Location: Contact: Saturday, Dec.15 9 a.m. 1 p.m. Minnetonka Community Center Minnetonka Boulevard, Minnetonka, MN farmersmarket@eminnetonka.com PLEASE PRINT Date: Business/Farm Name: Name of Primary Seller: Street Address: City: _ State: Zip: Home Phone: Cell Phone: Fax: _ _ Website: _ Address where crops are grown or items are produced: (We reserve the right to inspect location at any time before or during market season.) List others who will sell for you at the market: Name of Additional Seller(s) Relationship to Primary Seller Items to Be Sold Please list all items you will sell at the market on the Product Inventory Page attached to this application. We require a detailed list of the items you plan to offer at our market to help us avoid potential product overlap. Items not listed on the Product Inventory Page may not be sold at the market. Do you grow or produce all your items? Yes No If not, please explain: Canned/Processed/Baked Food Items Are you selling any canned, processed, or baked food items? Yes No Are these items made in a licensed and inspected commercial kitchen? Yes No If yes, provide the name and address of the commercial kitchen: _

2 2018 Minnetonka Winter Market Application Business/Farm Name: If yes, you must provide a copy of your MN Dept. of Agriculture Retail Mobile Food Handler and/or applicable license with this application. Are these items prepared in your home? Yes No If yes, you must provide a copy of your Cottage Food Producer Registration from the MN Dept. of Agriculture with this application. Meat Products If you are selling any meat products, are they USDA-inspected and approved? Yes No If yes, please provide the name and address of the meat processor. If yes, you must provide a copy of your MN Dept. of Agriculture Retail Mobile Food Handler or other applicable license with this application. Are your items certified organic? Yes No If yes, please provide a copy of your National Organic Standard Certificate, issued by an USDAaccredited agent. Do you plan to offer free food samples at your booth? If so, please contact John Weinand, Minnetonka environmental health supervisor, at to discuss City of Minnetonka sampling rules. Yes No Minnesota sales tax ID number (if applicable): What food-related licenses do you currently hold? (Include copies with this application.) All vendors must be licensed under the City of Minnetonka, and must provide all required information on this application. If you have further questions about market licensing, food safety or product sampling practices, please contact John Weinand, Minnetonka environmental health supervisor, at Stall Reservation/Payment Options: Fee: Markets are $20 We would like to request the following: (Check all that apply. Supply is limited and subject to availability. You will be notified of what supplies are available at the same time your reservation is confirmed): o 6-foot table o Two folding chairs. We will provide our own table and/or chairs. Electricity: Limited electrical outlets are available (20 amp, 110-volt). Cost is $5/outlet. Limit two outlets per vendor. Requested electrical outlets: 1 2 x $5 = Total Add it up! Stall Fee: + Electricity: = Total Due $_ (if applicable) Entire application fee must be included with this for application to be valid. Checks should be made payable to the City of Minnetonka. Full refunds will be given to any applications not accepted. 2

3 2018 Minnetonka Winter Market Application Business/Farm Name: Refunds & Cancellations We understand that plans may change, but you must contact us in advance ( ) if your attendance will be different than the days listed above. Minnetonka Farmers Market does not provide refunds for market dates when a vendor is absent. We also do not issue refunds due to weather cancellations. In addition, we do not provide refunds if, by a vendor s own choosing, they quit the market or are asked to quit the market by Market staff. Any refunds are at the Market Manager s discretion. Products You Plan to Sell Please list all items you will sell at the market. Items not listed may not be sold at the market. If possible, list specific varieties. Attach a separate sheet if necessary. Vendor Publicity Both the market and the vendor can benefit from promotion. We are regularly updating our website, planning social media efforts and considering new forms of promotion. Please check the pieces of information that we may share with the public. We will not share any information that is not checked below: Your name Your phone number Your farm or business website Dates you will be at the market Your farm or business name & location Your address Your social media accounts/pages (Facebook, Twitter) What you sell (please describe below) Please describe your products, farm, business or family to market shoppers. Feel free to use additional paper to tell your story. Please send photos and/or logos to farmersmarket@eminnetonka.com for promotional purposes. Required Forms: In addition to the booth fee and Vendor Application you must submit a mandatory: - ST-19 Minnesota Revenue Operator Certificate of Compliance Form - W-9 IRS Form All forms are available online at 3

4 2018 Minnetonka Winter Market Application Business/Farm Name: I have completed the 2018 ST-19 MN Revenue Operator Certificate of Compliance Form. If selling non-taxable items, check the box: I am selling only nontaxable items. Place this information on the form: Name of Group: Minnetonka Farmers Market, Minnetonka Blvd, Minnetonka, MN Name and Location of Event: Minnetonka Farmers Market, Civic Center Campus, Minnetonka Blvd, Minnetonka, MN Date of events: Saturday, Dec. 15, 2018 I have completed the W-9 IRS Form with a MN Employee Identification or Social Security Number. In order to be reimbursed by the City of Minnetonka for credit/debit system transactions you must complete this form. Market Rules Please initial each statement: I understand that I must be actively involved in the planting, growing, harvesting and/or processing of products I sell at the market. Reselling is prohibited unless I receive express permission from the market management. I agree to accept the Minnesota Farmers Market tokens (debit/credit) from customers for payments of goods purchased and understand that I will be reimbursed by check after each market for tokens submitted to market staff. I agree that the City of Minnetonka and its respective officers, employees, agents and consultants are not liable for any injury, theft, or damage to either the buyer or seller, or their property, arising out of or pertaining to preparation for or participation in the 2018 Minnetonka Winter Farmers Market; whether such injury, theft or damage occurred prior, during, or after the 2018 Minnetonka Winter Farmers Market. Applicant further agrees to indemnify, defend and hold harmless the city of Minnetonka and its respective officers, employees, agents and consultants for and against any claims for injury, theft or damage resulting from my fault. The City of Minnetonka takes photos and videos of people participating in/attending the Minnetonka Farmers Market for use in marketing and promotional materials. I grant permission to use the name, photos, videos and quotes from me and my employees for this purpose. I have read and agree to abide by all city of Minnetonka 2018 Farmers Market rules. Signature of primary seller: Date: Mail this application and your check payment to: City of Minnetonka Attn: Minnetonka Farmers Market Minnetonka Blvd. Minnetonka, MN

5 2018 Minnetonka Winter Market Application Business/Farm Name: OR Call Recreation Services at to pay by Visa, MasterCard, and Discover via phone. Be sure to enclose all five pages of the application and the forms indicated above. If you are paying by credit card, you will need to mail or the application by Nov. 15, Please call or with questions or for more information. For staff use only: Date application received: Money received: Amt Check/Cash_ Product category: _ Added to website list: Y/N Received by: _ Deposit date: Acceptance letter sent: _ Added to dist. list: 5