Goshen Chamber of Commerce
“Supporting Goshen business since 1895
223 Main St. ●Goshen, N.Y. 10924
(845) 294-7741 ● Fax (845) 294-7746
[email protected]
www.goshennychamber.com
GOSHEN FARMERS’ MARKET
2015 Vendor Application
MUST BE POSTMARKED NO LATER THAN APRIL 10, 2015
First Name:
Last Name:
Farm/Business Name:
Address___________________________________________________________________________
Phone:
Fax:
E-mail:
_______
Cell phone_____________________________________________
Address of farm, kitchen or other facility (if different from above):
Please describe the vehicle you will be using (truck, car, van) and approximate length and include
License Plate and State #:
1. An application fee of $100 by check or money order payable to the Goshen Chamber of
Commerce must accompany this application. This fee includes membership in the Goshen
Chamber of Commerce (through 4/25/15). If you are unable to participate in the market, or the
Goshen Farmers Market Advisory Committee does not accept your application, any monies
paid will be refunded or your check, uncashed, will be returned
2. All information regarding booth space, fees and other pertinent items are discussed in the 2015
Goshen Farmers’ Market Handbook. Please read the handbook and sign the Vendor
Compliance Indemnity Agreement on the reverse of this application.
3. Please fill out and attach the enclosed New York State Farmers’ Market Nutrition Program
(FMNP) Farmer Crop Plan with this application. If this form is not applicable to your product(s),
please clearly describe on a separate sheet all of the products you plan on carrying.
4. All vendors must carry at least one million dollars in public liability coverage that covers the
Goshen Chamber of Commerce with the Village of Goshen and the First Presbyterian Church
named as additional insureds. A photocopy of your Certificate of Insurance will be required
upon acceptance into the market with up-to-date paperwork no later than May 1, 2015. You
will also be required to produce any/all necessary licenses, certifications and Taxpayer ID No.,
if applicable. If you already have insurance and certifications in place, please submit a copy
with this application.
5. Please Read and sign the Waiver and Indemnity Agreement on the reverse side. All
applications must be postmarked by 4/10/15.
THANK YOU
2015 GOSHEN FARMERS MARKET APPLICATION – page 2
VENDOR COMPLIANCE AND INDEMNITY AGREEMENT
I/we, the undersigned, have read the Rules and Regulations of the Goshen Farmers Market
and do agree to abide by all of these rules and regulations.
I/we, the undersigned, understand that there is no guarantee of my presence at the 2015
Goshen Farmers’ Market or the approval of my complete product list.
I/we further agree to operate my booth in accordance with the rules as outlined in the Goshen
Farmers’ Market Vendor Handbook and to pay all applicable donations as set out in the Rules
and Regulations. I do understand that the booth fees, length of season, and hours of
operation are determined by the Market management, and even if I do not agree with them, I
will abide by them.
I/we further understand that failure to comply with the above may result in dismissal from the
market.
As a vendor wishing to rent space in the Goshen Farmers Market, I/we agree to SAVE, HOLD
HARMLESS AND INDEMNIFY the Goshen Farmers Market, the Goshen Chamber of
Commerce, the Village of Goshen, First Presbyterian Church, The Berkshire Bank , any
other unnamed sponsor, and their members, agents and employees, from any and all
damages, claims or liabilities or judgements arising from the undersigned’s activities
during the 2015 Goshen Farmers’ Market. . These include, but are not limited to,
judgments and attorney’s fees incurred in the defense of an action and any other costs,
fees or penalties associated with such defense against the above mentioned entities
and unnamed sponsors.
___________________________________
Vendor name – PLEASE PRINT
___________________________________
Vendor name - PLEASE PRINT
___________________________________
Vendor Signature
Date
___________________________________
Vendor Signature
Date
___________________________________
Business Name
________________________________________
Market Manager’s Signature
Date