Food Vendor Info

Company name

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Website or FB page

Current Business License

Current Serv Safe Certificate

Current PA Sales Tax License

Certificate of Insurance

I'm interested in being a vendor for the following:

Farmers Flea Market

Event or Activity

I acknowledge that I have provided current copies of all documents required and I will remit 20% of gross sales within 7 calendar days of the event or Activity.

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Date

Month

Day

Year