Email Name of Farm Farmers Name Phone Number Mobile Phone Website Farm Address ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Farm Registration Number Are you certified organic? Yes No Some Organic Certifier and Certification Number Please outline your growing practices Check all that you produce on your farm and would like to sell at market Check all that you produce on your farm and would like to sell at market Vegetables Chicken eggs Duck or other poultry eggs Seedlings Preserves Pork Beef Chicken Chicken Lamb Dairy Fruits/Berries Bee Products Other: Enter other... Does your farm produce prepared foods?? When did you start farming? How many acres do you have in production? In a few lines, explain your goals, vision, and business principles. If you want to bring items from a neighbour farm in limited quantities, you must fulfill the criteria for Neighbor Farm Allotment. I will not be bringing items from a neighbor I will request approval prior to bringing items from a neighbor and follow all necessary requirements Our season runs from May 21 to October 29th. Please list anticipated start and end dates. Yes I have read and agree to the market policy.?