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Village of Chittenango
Artisan and Farmers Market Application
Complete & return to: Village of Chittenango Artisan/Farmers Market
222 Genesee St Chittenango, NY 13037 attn: Artisan/Farmers Market or email to email@example.com
(Please Print Clearly)
City _________________________________________ State: NY Zip Code _____________
email address: __________________________________________________________
Contact Phone # ________________________________ cell _____________________________
product(s) description- ____________________________________________________________
Are 60% of these items hand-made/produced or grown by the applicant? Yes______ No _____
You must comply with NY State and Madison County health codes for any products sold for consumption. Applicable certificates, licenses etc. must be displayed by vendor.
The Market Committee reserves the right to approve/select participating vendors upon receipt and review of your application.
You must agree to the rules and regulations of our market. Please read them and initial here ____________ that you have done so.
I hereby certify that the information completed above is true and accurate. I further understand that any applicant who makes false statements or representation of certification in this application shall be subject to the revocation of their permit.
Date:___________ Signature of authorized party:________________________
Questions: email firstname.lastname@example.org
©2011 Village of Chittenango, New York