FMCB Vendor Application - The 712 InitiativeThe 712 Initiative

This serves as an application for booth space at Farmers Market Council Bluffs, held Thursdays May through September, 4:30 to 7:30 pm.

See more about Farmers Market Council Bluffs

Farmers Market Council Bluffs Vendor Application

Contact Information
Business Name*
Contact Name*

First

Last
Mailing Address*

Street Address

Address Line 2

City

State

ZIP Code
Business Email*
Secondary Email
Mobile Number*
Secondary Number
Booth Information
PLEASE NOTE: We are only accepting occasional/weekly vendor applications at this point. Your application to our farmers market will get you added to our list for weekly vendors. When we have a spot available, we will send out an email and booth space will be at a first come-first served basis.
Please check which applies*
- Occasional Booth ($20)
- Occasional Booth with Electricity ($25)
(You will pay at the market you attend)
Vendor Category*
Please elaborate on "other"*
Product Description*
Please describe the products you will be selling.
Photos
Please upload up to 4 photos for FMCB promotion. Examples may include you logo, product photos or a photo of your booth set up
Drop files here or

Accepted file types: jpg, png.
Tax Information
Sales Tax Permit/Tax ID Number - Please check the tax documentation that you have obtained.*
- Iowa Sales Tax Permit
- Federal Tax ID Number
- In process of filing for Sales Tax Permit or Tax ID Number
A copy of your Iowa Sales Tax Permit or Tax ID Number MUST be provided/on file with The 712 Initiative. Please email your documentation to Jeff Snow (jsnow@the712initiative.org) or mail copies to the following:
The 712 Initiative
1228 S. Main Street
Council Bluffs, IA 51503
Tax ID Number
Please upload documentation of your Tax ID Number
Iowa State Sales Tax Permit Number
Please upload documentation of your State Sales Tax Permit
Explain where you are in the process of aquiring your Tax ID Number of Iowa State Sales Tax Permit
Additional Information
Are you a Certified Organic Producer?*
Do you participate in the Wireless EBT project?*
Do you participate in the Farmers Market Nutrition Program (FMNP)? This is formerly called WIC and Senior Checks program.*
Responsibility Waiver*
Checking 'YES' below is representative of my signature and states that I have read and completely understand the Responsibility Waiver found under Terms & Conditions on this page.

YES, I have read & understand the Waiver of Responsibilities
Contamination Affidavit*
Checking 'YES' below is representative of my signature and states that I have read and completely understand the Contamination Affidavit found under Terms & Conditions on this page.

YES, I have read & understand the Contamination Affidavit
Hold Harmless Agreement*
Checking 'YES' below is representative of my signature and states that I have read and completely understand the Hold Harmless Agreement found under Terms & Conditions on this page.

YES, I have read & understand the Hold Harmless Agreement
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TERMS & CONDITIONS

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Farmers Market Council Bluff Vendor Application

Farmers Market Council Bluffs Vendor Application

Contact Information

Booth Information

Tax Information

Additional Information

The market will be held ‘Rain or Shine’; however, The 712 Initiative does reserve the right to cancel the market due to inclement weather. We do not issue refunds for these market days.

Responsibility Waiver

Contamination Affidavit

Hold Harmless Agreement

Donate

Sponsor

Volunteer