Vendor Application — Lake Mills Farmers Market

Vendor Name

First Name

Last Name

Legal Farm/Business Name

(if not sole proprietor)

Website

(If you have one)

http://

Facebook

(If you have one)

Instagram @

(If you have one)

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Address of farm or production location

(Required for produce or products that require a commercial kitchen)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

License Plate

Wisconsin Seller's Permit Number (if required for your business)

15 digits starting with 456

Last 4 digits of Social Security Number

Needed for monthly S240 form

Last 4 digits of FEIN

(if applicable)

Doing Business As (DBA) Name

(if applicable)

Exemption Code

List all items offered for sale (with brief description), in order of priority. Items added during the market season must be pre-approved by the Market Manager.

We are a Producer-Only market. Do you make/grow the items you plan on selling?

Please explain to what extend you make or grow your products.

Growing/Producing Practices

Please detail your growing or producing practices, such as Certified Organic, Conventional, Biodynamic, Integrated Pest Management, etc. If you manufacture a product, please tell us about your sourcing. Do you use local ingredients? You are not required to use local or organic ingredients, we just want to know if you do.

Number of years farming/producing your product(s)

Number of years vending at the Lake Mills Farmers Market, not including this year.

If this will be your first year, write "first"

Who will be staffing the booth during the season?

Owner

Employee

Other (please explain below)

Please list the full names and roles of each person you expect to be present at your booth this year.

You will be able to add new people later with market manager approval.

Select all permits your business is required to have, then email your documents to farmersmarket@legendarylakemills.com

Certificate of Insurance naming Legendary Lake Mills as an additionally insured (food/beverage processing vendors)

Copies of proper Health Department Permits (food/beverage processing vendors)

Booth spaces are approximately 10’ x 10’. Electricity is limited and only available to full season vendors. Please select from the following options. **If you plan on attending for 3 months or less, you MUST select "monthly rate" and specify which months.

Applications will be accepted throughout the season, however, those applications submitted on or before April 1, 2024, will receive consideration for vendor location preferences. Booth location assignments for full season vendors will be emailed to accepted vendors prior to opening day.

FULL SEASON: $120 per booth

MONTHLY RATE: $50 per booth

DAILY RATE: $15 per booth

YOUTH VENDOR (Free)

NON-PROFIT (Free)

Will you need a single or double booth?

The prices above are doubled for double booths.

Single

Double

Full season vendors that have a delayed start date or early end date, please specify the dates you will start and end. You should only select "Full season" if you plan on attending for more than 3 months.

Monthly vendors: please select the month(s) you will be attending.

May

June

July

August

September

October

Daily vendors: please list the dates you plan on attending.

If you don't know yet, please explain your situation.

Do you need electricity?

Selecting this does not guarantee a spot with electricity

Yes

Start Date

Market season is May 1 - Oct 23, 2024 from 2-6pm

YYYY

End Date

YYYY

Please specify dates you are unable to attend, if any:

The market does not operate 6/26 due to Town and Country Days

If your application is accepted, we will email you an acceptance letter with a link to pay your market fees. If you cannot pay online, you can mail a check or bring cash to Legendary Lake Mills, 200E Water Street, Lake Mills, WI 53551, checks payable to "Legendary Lake Mills"

*Checks returned Non-Sufficient Funds (NSF) will be assessed a $25 fee by Legendary Lake Mills.

I will be paying online

I will be paying by check/cash

I confirm all of the above information is correct to the best of my knowledge.

Digital Signature:

Date Signed

YYYY

I, the vendor, have read, understand, and agree to abide by the 2024 Lake Mills Farmers Market Rules and Regulations (link found at the top of this page, please read thoroughly before signing). To the fullest extent permitted by law, I agree to defend, pay on behalf of, indemnify and hold harmless the elected and appointed officials, employees and volunteers and others working on behalf of the Legendary Lake Mills Chamber Main Street Organization and/or the City of Lake Mills, against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any damages which may be asserted, claimed or recovered against or from the City of Lake Mills and/or the Legendary Lake Mills Chamber Main Street Organization, by reason of personal injury, including bodily injury or death and/or property damage, including the loss of use thereof, which arises or is in any way connected or associated with the Lake Mills Farmers Market.

Digital Signature

Date

YYYY