Grower/Producer Application

Name *
Name
City, County, State
Phone *
Phone
http://
Mailing Address *
Mailing Address
If planning to split a farmstand with other farms, please list the owners and farm names here. EACH FARM MUST SUBMIT A SEPARATE APPLICATION BEFORE THE STAND WILL BE RESERVED
Partnership Interested In:
Check all that apply *
Which months are you interested in renting a farmstand? *
Check all that you request
For each month checked specify which farmstand(s) interested in: (Refrigerated Case, 2-Sided Stand; 1-Sided Stand)
For each month checked above please list the products you would like to sell out of the stand. You may also email product list by month to produce@farmsandmarket.com
Product Liability Insurance *
You must provide a copy of the certificate of coverage for $1M/$2M product liability insurance. Do you currently have this?
Specialty Licenses / Inspections *
Will you be able to provide any necessary specialty licenses or proof of inspections for your products? ex: if selling eggs, fresh raw shellfish, certain "high volume crops"
Do you have a valid Master Business License number (WA UBI)? *

For more detailed information about required specialty licenses and inspections see Washington State Agriculture's

HANDBOOK FOR SMALL AND DIRECT MARKETING FARMS