1. MOBILE FOOD
H O L Y O K E F A R M E R S M A R K E T
V E N D O R A P P L I C A T I O N
______________________________________Date
I am applying to be a (check all that relate):
FARMER VENDOR OTHER
___________________________________________________________________________________
(please list on line
below if other)
Name of Business_________________________________________________________________
Contact Person(s)_________________________________________________________________
(2)_____________________________________________________________________________
Mailing Address____________________________________________________________________
City__________________________________________ State_____ Zip__________________
Phone____________________________ Cell_________________________________
Email________________________________________________________________
Website____________________________________________________________________
Can we ‘Like’ you on Facebook? YES NO
How many 10’ x 10’ table(s) will you require?_______
C O L O RADD SOME
TO YOUR LIFEH O L Y O K E F A R M E R S M A R K E T
DOWNTOWN HOLYOKE, MASSACHUSETTS

2. H O L Y O K E F A R M E R S M A R K E T
V E N D O R A P P L I C A T I O N
FARMERS
C O L O RA DD SOME
TO YOUR LIFEH O L Y O K E F A R M E R S M A R K E T
Name of Insurance_________________________________________________________________
Name of Agent_________________________________________________________________
(please attach a Certificate of Insurance naming the Greater Holyoke Chamber of Commerce as additional insurer)
Are you certified organic? YES NO Are you a ‘no spray’ farmer? YES NO
I certify that I am familiar with 105 CMR 590.000 Minimum Sanitation Standards for Food Establishments-
Article X and the above-described establishment will be operated and maintain in accordance with regulations.
Pursuant to M.N.L., Chapter 62c, Section 49a, I certify, under then penalties of perjury that, I to the best of my knowledge and
belief, have filed all state tax returns and paid all state taxes required by law.
Name (please print)_____________________________________________________________
Signature____________________________________________________________________
- application fee is non-refundable and due with application -
VENDORS
The undersigned hereby agrees to hold the Greater Holyoke Chamber of Commerce harmless from all liability to property being
exhibited and from any personal injury claims which might arise as a direct result of the exhibitor’s property being exhibited at the
Holyoke Farmers Market.
YEARLY MEMBERSHIP DUES SCHEDULE FOR 2016
Membership Fee
May-October (26 weeks) savings of over $200! $250.00
Week-by-Week $20.00 ($560/26 weeks)
Yearly Dues and Fees Must Be Paid in Full by June 2nd
Please make checks payable to:
GHCC: Special City Events
177 High Street
Holyoke, MA, 01040
DOWNTOWN HOLYOKE, MASSACHUSETTS