Farmers' Market Vendor Registration Confirmed

Thank you for applying to become a vendor at Main Street's Farmers' Market! We will follow up with you shortly!

Name   MARY MCNAMARA Farm Name   HANDBAGS BY MARY Address   552 RACCOON LANE SUNBURY, Ohio 43074 United States Map It Email   HANDBAG.MARY@GMAIL.COM Phone   (614) 419-7051 What forms of payment do you accept?   Cash Check Credit Card Which days will you participate at the Main Street Market?   Saturday How did you hear about us?   Returning vendor Will you be accepting senior vouchers?   No Will you be accepting SNAP?   No What will you sell at the market?   HANDBAGS AND MASKS What county are you located in?   Delaware Farmers' Market Fees Credit Card   MasterCard XXXXXXXXXXXX1632 I am aware that there is a one-time registration fee of $10.00 for Farmers' Market vendors, and acknowledge I will receive a separate email invoice to make this one-time payment after my application has been received.   I understand. I understand that Main Street Delaware requires all vendors to have insurance with no less than 300k in liability coverage. In order to participate in any Farmers' Market event a Certificate of Insurance is required to be on file. I attest that I will add Main Street Delaware 20 E. Winter St Delaware OH 43015 as an additional interest on our insurance and can provide documentation upon acceptance into the market.   I understand and will provide a Certificate of Insurance. By submitting this form, I agree to release Main Street Delaware, Inc., its agents, officers, volunteers and the City of Delaware, its agents, employees, officers and volunteers from any and all claims of any kind resulting in participation in the Main Street Famers' Market.   I understand. Order   Product Qty Unit Price Price Application Fee 1 $10.00 $10.00   Total: $10.00