HomeMy WebLinkAbout15-008 Triple It Farm 1
- -� /��oe .
A � � . �#���
2015 Vendor Application � �
�
Produce, Plants & Non Processed Foods Only) '���``
Bass River farm Market
311 Old Matn Street,Bass ver MA 02664
2015 Market Da#es: Thursdays,June 11—Sept. 17 9 AM—1:30 PM
Saturdays,June 13— ep . —1:30 M
�c��d�D
Roin or Shine
' ,/y) MAY 14 201'�
Name: �'t a•a.n� ��
TH DEPT.
i Farm/Vendor�Name ��r�p�� �-� �J'�'1
i t'
� Farm/Business Address � S ���" � r�o��� � ��S ��" 2��/
;
'i.
� ���
FarmiBusiness Website:
Telephone (� (�io�ne) (Cell) S��'�3�`"�s J
Email: �?R�'i���1�--3y � C'v�+'I/'� s�� •�� �
Best way to contact you: '`°�`�� �
Name&contact infofor individual mannir�g your space: � ��� � S�r�a�
� ��vv'c-
� Produce/Product you will be selling:
�a� �
� tf so�
-�,�bs �- G�ti,�� c,1 a,, fi�
� ��S � .� r� Rs 5w f Y�
. � �
Chedc the following that apply and attach copies with application:
Product Liability Insurance
ServSafe Certification(if providing samples)
G.A.P.Training Certificate
Food Ailergy Awareness Trainin�Certi�cate
The Market accommodates 18—24 vendors.Spaces wilt be assigned by the Market Manager.
�
' J "" Full Season Fees
; � Thursdays $200 Both Days $375
Saturdays $200
A 50%non-refundable deposit is due by April 30,2015.Fina)payment is due by May 20,2015.
Ali fuli-season vendors are expected to attend weekly.If a seasonal vendor does not show up � '
at a Market and has not given notice to the Market Manager,that vendor wili receive notice
from the Market Manager that his/her space is forfeited for the remaining season.There are
no refunds.
,�}
Educators,Master Gardeners, No charge.
NON PROFIT and Authors and Sustainable Living '
; EDUCATIONAL GROUPS advocates to share and display
j their knowledge and work.
i Must be approved by the Market '
Manager
�
Please Note:
i
�� By signing this form the vendor acknowledges that he/she has read and wifl
; comply with the guidelines for the 2015 Bass River Farm Market which are
,f
available on our website. (hard copies can be sent to you upon request) '
Applican s Si nature
Date �i6�s"" � '
Make your check payable to the Bass River Farmers Market
and
Return with completed application to
Bass River Farrners Market
P.O. 8ox 1374
South Yarmouth, MA 02664
Market Manager: Carlene Veara (774) 217-1067
�
OF�FICIAIa BWNK 11F THE N6W ENGI,AI�lQ PATR1177°S
*�' �.
� . :�
'F1 � . y ��.
. < ���
� �m � � r�� � � �� � � �
��., � s-� �v.: "' .�.�
��, � � ` ��
t'�: ,� :�x�,�� �a �,.�; ��` �
9 z'��"�� ���+�� .
.�u'L2 ;�3m. ,�/ �� t� �2�� ,,n:���.�t�k'�h
�.
, .' ; ; ` , .- , .
7 " v
�� � _, � �� .. . , �. aA-
� � ,. �
" ' ,
i, ��
f' '4 -_ - "`e� .af..
K;
a. ti
� � � h�1 ' ,hP'a. ' ,.
s. �
e
c:c r . .� , ,. .
d . �Y �
'N�„ ` *«' � yfz
��ro �. � � � �
�� ma'ti '�'��- ��, r �: 3���..
�
�,,;�
��h ` � � � � ��;� .
.�,,� ��f.. . � _ ,
w_ �..�s��.
�
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT NUMBER: #15-008 FEE: None
This is to Certify that Maureen Hovt /a Trinle It Farm
7 Bettv'�Pond R�ad,�,i�nni�, MA
IS HEREBY GRANTED A LICENSE
� For NAME OF EVENT: Bass River Farmers Market
� DATE OF EV .NT• Th �r day hro �g n S ntPmhPr 17 2015
� LOCATION: 311 Old Main Street. South Yarmouth, MA
' FOOD SERVED: Assorted vegetables and herbs; eg�s.
�
!
This permit is ganted in conformity with Article VI of the Sanitary Code of The Commonwealth of Massachusetts,and
expires September 18.2015 unless sooner suspended or revoked.
May 15,2015 BOARD OF HEALTH: J aru�a 1�aiSrteau�t, �iavuttan
���J`3o�s��c�, _.Il�..`v., `Uice C!Pcavcnu�rt
�e�cf�
��
ruce G. Murphy,MP , . ., CHO
Director of Health
�
�
I