General Information

Name

Business or Farm Name

Years in Business

Total Acreage in production

Total Acreage

Mailing Address

City

State

Zip Code

Physical Address Same as Mailing?
YesNo

Physical Address if different from mailing

Physical Address

City

State

Zip Code

Contact Information

Phone Number (Work)

Phone Number (Mobile)

Phone Number (Home)

Email

Business Web Page

Business Facebook Page

Business Twitter Page

Business Instagram Page

Market Participation

Have you ever participated in a Farmer's Market?
YesNo

If Yes, which one(s)?

Proof of Insurance

Do you currently have Product Insurance (requirement for all vendors selling edible items)?
YesNo

Product Information

I wish to sell (only the following categories are open for application at this time):
Category 1: Majority fresh produce, plants, flowersCategory 2: Prepared food itemsCategory 3: Dairy, meats, seafood

I would like to request to be a Guest Vendor (attend the market once for a special event) in the Following Category:
Musical GuestGuest ChefGuest Speaker/Educational Session

Farm and Business Description (This is Marketing Information to be displayed to the public on the Lafayette Market Website)

Sales Information

Who will sell from your booth at the Market? Only the individuals listed here will be permitted to sell from your booth

What are the specific items you plan to sell? List the kinds of produce, variety of items, and specific types of goods you specialize in. Only items listed here will be approved for sale at the market, so please be specific.

Special Considerations

Select those that apply to you. You may pick more than one.
Need Electricity, if availableNeed Ventilation, if availableNeed more than one space (Each priced separately. Max. 2 stalls allocated to each vendor, if space is available)Have heavy productsHave loud machineryOther special considerationsNone of the above

Do you currently accept SNAP/EBT?
YesNoNo, but I would like to learn how to begin accepting SNAP/EBT

Do you currently accept FNMP coupons?
YesNoNo, but I would like to learn how to begin accepting FNMP coupons

Comments:

Rules and Regulations

There is a $50 Annual Membership Fee, due once you are accepted as a vendor.

If accepted as a vendor, I AGREE to abide by the Rules and Regulations of the Lafayette Market,TO OBTAIN LIABILITY INSURANCE and any and all PERMITS and LICENSES (where applicable); TO ASSIST in the inspection of my garden or farm by agents of the Lafayette Market;TO SELL only agricultural products produced in my garden/farm, production facility or harvested on my boat.

I FURTHER AGREE NOT to hold the Lafayette Consolidated Government, Community Foundation of Acadiana, and/or the Lafayette Farmers and Artisans Market at the Moncus Park or its representatives and employees responsible for any damages arising out of the sales of my farm products or from my presence on the market site. Any images captured by camera are public and may be used in any marketing materials by the Lafayette Market.

I accept the terms above and have read the Rules and Regulations of the Lafayette Market.
YesNo

Signed electronically by typing name below:

Today's Date (Please format YYYY-MM-DD, Example: 2019-01-30)

Please leave this field empty.

Payment Information

When you click the "Submit" button below, you will be redirected to our application fee page. Please submit your $25 Application Fee through PayPal to complete your application. This application will only be reviewed upon receipt of payment.