Chewelah Farmers Market
“Creek Side” at St. Paul Lutheran Church
N. 202 2nd St. W., Chewelah
509 935 6311
revedpace@centurytel.net

Friday’s NOON to 6 PM
Vendor and Consignment Application Form

Name: ________________________________________________________

Farm Name: ____________________________________________________

Mailing Address: _________________________________________________

City: _______________ Zip Code: __________________

Phone#:_____________________ email: __________________________________

Booth Space or Consignment Table
 Booth Space
 Consignment Table

Products you are requesting to sell at the Chewelah Farmers Market: __________________________________________________________________
________________________________________________________________________________________________________________________________________________

If your produce is sold at the consignment table, how would you like the proceeds (less 10%) distribute?
 Give it all to me
 Donate it to the organization running the consignment table
 Donate it to the Chewelah Food Bank

What will you do with left-over produce at the end of the day?
 Take it home
 Donate it to the Chewelah Food Bank

By my signing below the applicant agrees that they have read and understood the RULES AND REGULATIONS of the Chewelah Farmers Market, and agrees to be bound thereby. The applicant further agrees that failure to abide by those rules will disqualify the applicant from selling at the Chewelah Farmers Market.

Applicant Signature: ______________________________ Date: ___________________
MAKE CHECKS PAYABLE TO: St. Paul Lutheran Church/Chewelah Farmers Market
ALL FARMERS MARKET PROCEDES WILL BE USED TO COVER MARKET EXPENSES