1. TURLOCK CERTIFIED FARMERS MARKET
P.O. Box 1327 ⏐ Turlock, CA. 95381
2010 Membership Application
Please fill out the first two pages completely and return them to the above address.
Name
Farm Name
Mailing Address
City County Zip
Home Phone Business Phone
Cell Phone Fax Number
E-Mail Address
Are you planning to sell organic produce?
Yes No If so, please enter your county registration number here . (This number may be found in
the top right hand corner of your "Organic Producers/Handlers/Processors Application and Registration" form.)
Are you planning to sell "No Spray" produce?
Yes No If so, please include an affidavit that has been notarized claiming the same.
Are you planning to sell any non-agricultural products, such as fish, cookies, cheese, etc?
Yes No If so, please list here: (list additional items on the back of this page.)
List all crops you intend to sell below: (list additional items on the back of this page.)
If there are products listed on your certificate that you do not intend to sell, please list them here: (list
additional items on the back of this page)
If you will be selling any dried fruit or vegetables you must list them here:
Turlock Certified Farmers Market ⏐ P.O. Box 1327 ⏐ Turlock, CA 95381 ⏐ 209.634.6459 ⏐ 209.585.7372 ⏐ www.turlockmarket.org
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2. I am applying for admission to the following market: A stall space is equal to 1 regular parking space:
Length of your vehicle: Number of Name the months you will
(if you need one in your space) people attending: be attending:
Ft.
Please include the following items:
1. Yearly Membership dues of $100.00 ($125.00 if paid after March 28, 2010).
2. A current Certified Producers Certificate from the Agricultural Commissioners office in your county of
origin.
3. A map of your farm or farms with the number of acres and directions to each parcel.
4. If you are selling "No spray" remember to include your notarized affidavit.
5. All applicable current licenses and permits.
When signing this application you are assuring that all information you are giving is true and
accurate, and you have read and understand the attached market rules.
Name Date
Title
Turlock Certified Farmers Market ⏐ P.O. Box 1327 ⏐ Turlock, CA 95381 ⏐ 209.634.6459 ⏐ 209.585.7372 ⏐ www.turlockmarket.org
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