Vendor Assistance Program Application

Farm/Business name

Owner(s) name(s)

Employee(s) who will work at the market, if other than owner(s)

Business phone number

Area CodePhone Number

Cell phone number

Area CodePhone Number

E-mail address

Preferred method of contact

Preferred time of contact

Have you previously sold at a farmers' market regularly within the last 3 years?

Please list other farmers' markets you participate in and/or your other direct marketing sales outlets (e.g. restaurants, CSAs, etc.)

Website address

Mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Physical address of growing/business operations

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Additional address of growing/business operations

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Reimbursement checks to be made payable to

Markets where you are applying to sell at: (check all that apply)

Rows	Yes	No
Broadway (44105, Mondays 4-7p)
Coit Road (44110, Wednesdays 10a-1p, Saturdays 8a-1p)
Downtown Cleveland (44113, Fridays 11a-2p)
Gateway 105 (44106, Fridays 3-7p)
Gordon Square (44102, Saturdays 10a-2p)
Kamm's Corners (44111, Sundays 10a-2p)
Lakewood (44107, Saturdays 10a-1p)
Tremont (44113, Tuesdays, 4-7p)
Wade Oval Wednesdays (44106, Wednesdays, 7-9p)

Market attendance comments

Electric needed at market? (May require additional fee)

For your produce, which of the following terms best describe your farming practices?

Comments on growing practices

Please check all vegetable offerings

Please check all herb offerings

Please check all fruit offerings

Please check all other offerings

Percentage of offerings grown within 100 miles of greater Cleveland

Yes, if accepted into Growhio's vendor assistance program, I agree to fulfill the following requirements, in addition to any other applicable terms, conditions and requirements set forth by Growhio (please check all):

Yes, I understand and acknowledge that (please check all):

Growhio Vendor Assistance Program Application

Acknowledgement