Name:__________________________________________________________________

Business Name: ____________________________ Phone: _______________________

Address: ____________________________ City: __________ State: ____ Zip: ______

Products to be sold:

If your produce is organically grown, are you certified organic?
Yes ______ No _______
If yes, please enclose copy of valid Department of Agriculture Permit.

Market Dates

An Application and payment ($10.00) must be received by the Friday prior to the market date you are attending in order to provided adequate space, if submitting weekly.
Seasonal Special ($200.00) must be submitted by May 26th.

DeWitt Farmers' Market
C/O DeWitt Downtown Development Authority
414 E Main Street
DeWitt, Mi 48820

WAIVER OF LIABILITY: In consideration for participating as a vendor in the DeWitt Farmer's Market, I assume all risks of injury or suffered while on and/or upon the premises of the City of DeWitt and release and agree not to sue the DeWitt Farmer's Market, City of DeWitt, its agents, servants, associations, employees or anyone connected with the city of Dewitt or the DeWitt Farmer's Market for any claim, damages, costs or cause of action which I have or may in the future have as a result of injuries or damages sustained or incurred while on and/or upon the premises of the city of DeWitt as a farm market vendor.

I, the undersigned, have read the waiver of liability and the market rules, attached to this application, understand them both and agree to abide by them.

Signed: ________________________ Vendor Company Name:____________________

Print Name: _______________________ Date: ________________________________