ON

Las Vegas Farmers Market® VENDOR
ON-LINE APPLICATION

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Today's Date

Business Name

Contact Person (s)

Address

City State Zip Code

Home Phone

Cellular/Pager Telephone

Day Telephone

Email

Business Website

Do you want a link to your site? Yes / No initial_______
All material to be approved by market manager and suitable for family audiences.

Nevada Sales Tax Number- or attach copy of applied for receipt.

What market are you applying for?

Tuesday at Gardens Park $35.00 daily or quarter $425.00 = 7% discount (13 weeks)
*Wednesday at Bruce Trent Park $35.00 daily or quarter $425.00 = 7% discount (13 weeks)

Business licenses number required (site specific)

NOTE: Must obtain tomato paper from manager to obtain it.

Please list ALL products to be sold, subject to approval of market.
Farmer submit copy of agricultural certificate from your state of origin,
please attach.

I will begin attending the market on: _____________2008 thru__________

For those who will be selling processed packaged or prepared items:
My processing facility has been inspected by the ___________________
County Health Department and I am enclosing a copy of my license.

And health permit and health card. Sample permit
Yes /no__________________________

Copy of your Insurance Business Liability Policy Naming
Las Vegas Farmers Market® LLC additional insured, Nevada State Sales Tax ID

Please request number of spaces1 (10x10) 2. (10x20) 3. 10X30

Power MAY be available on limited basis yes/ no?

Applicant is aware he/she is responsible for obtaining own general liability policy. I agree to have Las Vegas Farmers Market® LLC added as additional insured Prior to first entry date. _____________. (initials).

APPLICATION FEE: $50

Pay with PAYPAL
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Membership is $50.00 (non- refundable) plus $35 for every market you will attend.
One-month minimum. This is to offset expenses for advertising, signs, web site,
and insurance and location fees.

Make checks payable to Las Vegas Farmers Market® LLC. I agree to abide by all
rules and regulations of the markets and have read and received the rules,
City, County and state.

Hold harmless agreement to be signed by the vendor who agrees to hold the market, market sponsors, and those involved harmless from and against any damages, loss, liability, claims, suits, costs, and expenses from any activity that takes place at the market. Applicant understands they will provide market manager with copy of their own General liability insurance for their business or booth which names the Las Vegas Farmers Market® LLC as additional insured and certificate holder with 30 days notice of cancellation. _________________(initials)

Applicant(s): Signature ________________________________Date_____________
PLEASE SIGN AND RETURN AND include COPIES OF ALL APPLICABLE LICENSES
Tax ID.

The restrictions contained In this section are necessary for the protection of business and goodwill of the corporation and are considered by Applicant to be reasonable for such purpose. Applicant agrees that any breach if this section will cause the corporation substantial and irrevocable damage and therefore in the event of any such breach, in addition to such other remedies which may be available, the corporation shall have the right to seek specific performance and injunctive relief.

Agreement shall not be construed as subsequently waiving any of the terms and conditions of this Aggreement shall not be construed as subsequently waiving any sues terms an conditions, for the same shall continue and remain in full force and as if no such forbearance or waiver had occurred.

Commencing date ______________ termination date __________________________.

Applicant______________________________ LVFM_________________________

Applicant agrees upon signing and submission to be bound by these policies, rules, and procedures and will abide by them.

Applicant further agrees and understands that they will not be allowed to operate at any other market or location within five miles of any of our existing locations without specific permission and written release of market manager, during operational term, and for a period of one year after written and agreed termination date, due to conflict of interest, from Las Vegas Farmers Market® LLC.

Applicants signature will hereby release and hold harmless all associates of Las Vegas Farmers Market® LLC and its sponsoring organizations beneficiaries and all employees volunteers or associates of above from any and all responsibility, personal liability claims, including but not limited to theft, personal injury, public enemy, acts of god or other unforeseen circumstances beyond it's control and to indemnify them for any damage arising from applicants' or associates, guests participation in any of the Las Vegas Farmers Market® LLC Events. Applicant agrees to keep in force a general liability policy and to notify Las Vegas Farmers Market® LLC of any changes to insurance policies, residence, licensing and other relevant information.

PLEASE PRINT AND RETURN WITH CHECK & AGRICULTURAL
CERTIFICATE TO:
Virginia Johnson
3774 Horseshoe Mesa St
Las Vegas, NV 89147

phone: 702-562-CORN
fax: 702-562-2676
email: corngal@hotmail.com

**Please make check payable to Las Vegas Farmers Market® LLC and note which month(s) you are applying for.

Registration Fee

Booth Fee

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