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2. 
3. La Vergne Farmers Market Vendor Application
5. Name*
6. Business Name (if applicable)
8. Address*
10. City*
11. State*
12. Zip Code*
14. Phone Number
15. Email Address
17. Preferred Method of Contact
    -- Select One --EmailPhone
18. Specify which market(s) you plan to participate in

    1. Tuesday (3pm - 7pm)
20. Please specify what you plan to sell*
    ** ONLY agriculture or handmade products, arts and Crafts will be accepted **
22. Check payments should be made payable to "La Vergne Senior Center" as all space rental fees go to support the La Vergne Senior Center. 10'x20' space fee is $15 each market day.
23. The Parks and Recreation Department and La Vergne Public Library reserve the right to deny, limit or cancel space rentals to anyone at any time.
25. Vendor Agreement*

    I have read and agree to the rules for market space use and agree to abide by them.

    1. I agree.
26. View Farmers Market Rules
    Farmers Market Rules (PDF)
28. Food Truck Vendors
    A Mobile Food Service Vehicle Permit is required for all Food Trucks. Use the provided link to download the application if you do not already have a permit.
29. Download Application
    Mobile Food Service Vendor application (PDF)
31. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
33. Electronic Signature*
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field