Market Name. Client will advertise and promote the Market using the market name set out in Exhibit G. Sponsor will not use the name of the Market in connection with any farmers’ market other than the Market without Client’s prior written approval.
Market Name. Day: ☐Mo ☐Tu ☐We ☐Th ☐Fr ☐Sa ☐Su How many total vendors participate in the market (e.g. produce, meat, dairy, hot food, craft, etc.): Full-season (e.g. vendor commits to being there every week during FMNP season): Partial-season (e.g. vendor commits to being there select weeks/months during the season): Daily (e.g. vendor has no commitment; might only attend the market one single day per season): Business Name (#1): Owner’s First and Last Name(s): Business Address: Zip: FMNP Eligible Farms: ☐ N/A, this vendor is not eligible for FMNP at this market. FMNP Stamp ID: Acreage Cultivated in Fruits/Vegetables: Farm’s Total Tillable Acreage: Do you anticipate the vendor will meet the “50% Grow Rule” as defined by the FMNP? ☐Yes ☐No ☐Unknown Business Name (#2): Owner’s First and Last Name(s): Business Address: Zip: FMNP Eligible Farmers: ☐ N/A, this vendor is not eligible for FMNP at this market. FMNP Stamp ID: Acreage Cultivated in Fruits/Vegetables: Farm’s Total Tillable Acreage: Do you anticipate the vendor will meet the “50% Grow Rule” as defined by the FMNP? ☐Yes ☐No ☐Unknown
Market Name. Day: ☐Mo ☐Tu ☐We ☐Th ☐Fr ☐Sa ☐Su Is the market operated/sponsored by a private nonprofit agency? ☐ Yes ☐ No ☐ In-Progress How many total suppliers do you anticipate purchasing from this year? Business Name (#1): Owner’s First and Last Name(s): Business Address: Zip: Is this a ☐ xxxxxx (grower); ☐ dealer, ☐ distributor, ☐ food hub, ☐ other, ☐ don’t know If supplier is a xxxxxx/grower provide: FMNP ID #: and number of acres in fruits/vegetables: ☐ N/A, this supplier is not in FMNP. Estimate how much produce you plan to buy:(lbs or $): Business Name (#2): Owner’s First and Last Name(s): Business Address: Zip: Is this a ☐ xxxxxx (grower); ☐ dealer, ☐ distributor, ☐ food hub, ☐ other, ☐ don’t know If supplier is a xxxxxx/grower provide: FMNP ID #: and number of acres in fruits/vegetables: ☐ N/A, this supplier is not in FMNP. Estimate how much produce you plan to buy:(lbs or $): Business Name (#3): Owner’s First and Last Name(s): Business Address: Zip: Is this a ☐ xxxxxx (grower); ☐ dealer, ☐ distributor, ☐ food hub, ☐ other, ☐ don’t know If supplier is a xxxxxx/grower provide: FMNP ID #: and number of acres in fruits/vegetables: ☐ N/A, this supplier is not in FMNP. Estimate how much produce you plan to buy:(lbs or $): Signature of Applicant. I acknowledge that I have read and agree to abide by the NYS FMNP “Rules and Procedures for Markets (FMC-4)” provided by the NYS Department of Agriculture and Markets. By signing below, I certify that all information is true and correct to the best of my knowledge. Signature (required): Date: Print Name: Title: Submit form, AND Market Participation Agreement (FMC-8) AND rules for the market to: Email: xxxxxxxxxxxxxx@xxxxxxxxxxx.xx.xxx Mail: NYS Dept. of Agriculture and Markets Fax: (000) 000-0000 Attention: FMNP 00X Xxxxxxx Xxxxx Xxxxxx XX 00000 Questions? (000) 000-0000 x0 Toll Free: (000) 000-0000 Farmers’ Market Nutrition Programs (FMNP) SUPPLIER LIST (FMC-10) Rev 1/2022 Business Name (#4): Owner’s First and Last Name(s): Business Address: Zip: Is this a ☐ xxxxxx (grower); ☐ dealer, ☐ distributor, ☐ food hub, ☐ other, ☐ don’t know If supplier is a xxxxxx/grower provide: FMNP ID #: and number of acres in fruits/vegetables: ☐ N/A, this supplier is not in FMNP. Estimate how much produce you plan to buy:(lbs or $): Business Name (#5): Owner’s First and Last Name(s): Business Address: Zip: Is this a ☐ xxxxxx (grower); ☐ dealer, ☐ distributor, ☐ food hub, ☐ other, ☐ don’t know If supplier is a xxxxxx/grower provide: FMNP ID #:...
