LEWISTON FARMERS’ MARKET

Application for Membership

2004 Season

Note: Please read the attached "Market Rules" before completing this form.

Your Name ___________________________________________________________________________

Farm Name ___________________________________________________________________________

Address _____________________________________________________________________________

Town ________________________________ Zip _____________

Phone _____________________________

Email ______________________________________________________________________________



Please give us an idea of what you plan to bring to market: Y= Yes, M=Maybe.

___Mixed Vegetables         ___Seeds         ___Meats

___Herbs                 ___Vegetable Seedlings         ___Seafood

___Sweet Corn             ___Flower Seedlings             ___Milk, Cheese

___Potatoes                 ___Hanging baskets             ___Eggs

___Apples                 ___Cut Flowers             ___Honey & Bee Products        

___Cider                 ___Annuals                 ___Maple Products            

___Other Tree Fruits             ___Perennials                 ___Wool Products

___Strawberries             ___Dried Flowers             ___Handicrafts

___Raspberries             ___Baked Goods             ___Direct Consumables

___Blueberries             ___Jams, Sauces, Pickles         ___Other______________________



Help us determine how many members will be at market throughout the season. Circle the days you expect to come to market.

June 7         June 14         June 21         June 28        

July 5         July 12         July 19         July 26        

Aug 2         Aug 9         Aug 16         Aug 23         Aug 30

Sep 13         Sep 20         Sep 27

Oct 4         Oct 11         Oct 18         Oct 25         Nov 1



Agreement:

I have read and agree to abide by the rules of the market, as enumerated in the enclosed rules sheet. I realize that failure to do so may result in revocation of membership and attendance privileges.

Signature ___________________________________________________________Date___________________

Please return this application and $120 annual dues to the Lewiston Farmers Market Association, P.O. Box 433, Lewiston, ME 04243. If paying by check, make check payable to "Lewiston Farmers' Market".