Penfield Chamber of Commerce -  Farmers' Market

 for the 2009 Season

 Send this completed form,

payment (make checks out to Penfield Chamber of Commerce)

and insurance coverage  to:
 

John Wilkie, Market Manager
62 Clearview Dr
Penfield
, NY 14526

585-563-1929
 

 Vendors Name: _______________________________________________

 Vendors mailing address: ________________________________________

 ____________________________________________________________

 Vendors phone number: _________________________________________

 Address where items are grown or made:                                                                          

 ____________________________________________________________

 Dates that you intend to participate in the market (please be realistic and as accurate as possible):

 __________________________     to:  _____________________________

    starting month and date                             ending month and date

List all items that you intend to sell:

_____________________________________________________________

_____________________________________________________________

I have read and accepted the Rules and Regulations of this Market.

 

______________________                        ________________________
Signature                                                      Print Name

 ______________________    
Date