Vendor Application

Your Name(Required)

First Last

Business Name(Required)

Your Address(Required)

Street Address Address Line 2 City ZIP Code

Your Phone(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Choose the Market you wish to participate in:(Required)

Aloha Aina Saturday - Waimea Town Market

Foodie Experience Sunday - Waimea Town Market

From the Earth Wednesday - Waimea Town Market

List the PRIMARY PRODUCT(S) you plan to sell at the Market - please be specific(Required)

List the SECONDARY PRODUCT(S) you plan to sell at the Market - please be specific

If you are a grower, are you Certified Organic?

(If yes, you must provide us with a copy of your most recent certification)

Yes