2010 VENDOR APPLICATION
Please type or print clearly
Type of Application:
Seasonal: 12 weeks, July 10 - September 25: $99/Stall
Daily: $10/Stall Date(s) you intend to vend (not binding):
_________________________________________________________________________________________________________________
Please submit fees with application. Checks should be made out to “Crivitz Farmers Market/Green Thumb Garden Shoppe.”
Contact Information:
Name of Primary Vendor or Business_______________________________________________
Mailing Address: _______________________________________________________________
City: ______________________ State: ______ ZIP Code: ______________
Home Phone: (_____)__________________ Business Phone: (_____)____________________
Cellular Phone: (_____)___________________ FAX: (______)__________________________
Email: _____________________________ (Information will be sent by e-mail unless otherwise requested.)
Do your sales include any handcrafted items outside the sales of produce? Circle Yes or No
If yes, please provide either a SS# or sellers permit# as a village vendor application must be completed.
SS or Sellers Permit#___________________________________________
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2009 VENDOR’S AGREEMENT
(Hold Harmless)
The undersigned hereby represents that he/she is the Applicant or an Officer or other Authorized Agent of the Applicant
named herein and that he/she is over 18 years of age. The undersigned further acknowledges that he/she has read and
is familiar with the Crivitz Farmers Market policies, Procedures and Rules, and recognizes and agrees by his/her signature
hereto that the issuance of any permit is expressly conditioned upon Applicant’s acceptance and continuing compliance
at all times with said Policies, Procedures and Rules. Applicant on behalf of him/herself and his/her heirs, successors
and assigns, hereby releases fully and forever, and discharges the Green Thumb Garden Shoppe and Crivitz Farmers
Market and each and every one of their perspective officials, officers, employees and agents from any and all claims,
actions, causes of action, damages, costs and/or expenses of any kind or nature, including attorney’s fees, however
caused and incurred by the applicant, arising from or in any way connected with the issuance of permission to Applicant
to be a vendor at the Crivitz Farmers Market and the resulting operation of Applicant’s business at said Market.
Applicant hereby agrees to indemnify and hold harmless the Green Thumb Garden Shoppe, the Crivitz Farmers Market,
and each and every of their respective officials, officers, employees and agents from and against any and all claims,
actions, causes of action, damages, costs and/or other expenses of any kind or nature, including attorney’s fees,
arising from or in any way connected with the Applicant’s use of public space, operation of Applicant’s business and
the use of the same by Applicant’s agents, members, partners, associates, contractors, servants, employees, invitees,
and licensees.
The undersigned declares under penalties of perjury that the factual information furnished by him/her in Applicant’s
Application is true, accurate and complete to the best of his/her knowledge.
Applicant shall be responsible for compliance with all laws, rules, regulations and ordinances governing the sale of
all goods at the Crivitz Farmers Market.
The Crivitz Farmers Market Board of Directors reserves the right to terminate the Market
Contract of any or all Vendors at any time without cause and without reimbursement of fees paid.
Date: ________________
Applicant Signature: __________________________________________________________________