Pop Up Christmas Market Application - Church Street Farmers Market

Name of Individual Applying for Membership

First Name *

Last Name *

Farm/Business Name *

Mailing Address *

City

State/Province

ZIP / Postal Code

Farm/Business Address (if different from above)

Telephone *

Email Address *

Website (communication will be primarily electronic)

Please describe your products: *

Insurance *I have Limited Liability Insurance, which is required to participate in the Church Street Pop Up Christmas MarketI do not have insurance, I would like to purchase insurance through Historical Deerfield for a $10 feeA certificate of individual Commercial General Liability insurance in the amount of $1,000,000 is required to participate in Sweet River Farms Church Street Farmers Market. Please have your insurance provider name Sweet River Farm 175 North Rd Deerfield NH 03037 along with Deerfield Bible Church, 9 Church St Deerfield NH 03037 as the certificate holders. Certificates can be mailed or emailed to: Mail to: Sweet River Farm Attn: Church Street Farmers Market, 175 North Rd Deerfield, NH 03037 Emailed to: angie@sweetriverfarm.net

Terms & Conditions *I, the vendor, certify that the information provided on this form is correct and true. I have read, understand, and will abide by all rules, procedures and policies provided by Sweet River Farms Church Street Farmers Market. I, the vendor participating in the Sweet River Farms Church Street Farmers Market, to the fullest extent permitted by law, shall hold harmless the Deerfield Bible Church, and Sweet River Farm, including its officials, volunteers, employees, and agents, from any and all liabilities, obligations, claims, damages, penalties, causes of action, costs and expenses, caused in whole or in part by any negligence of vendor and/or its officers, members, directors, volunteers, or agents.

Policies & Procedures *I have read, understands, and will abide by all rules, procedures and policies provided by Sweet River Farms Church Street Farmers Market. I, the vendor participating in the Sweet River Farms Church Street Farmers Market, to the fullest extent permitted by law, shall hold harmless the Deerfield Bible Church, and Sweet River Farm, including its officials, volunteers, employees, and agents, from any and all liabilities, obligations, claims, damages, penalties, causes of action, costs and expenses, caused in whole or in part by any negligence of vendor and/or its officers, members, directors, volunteers, or agents.By selecting this, you are confirming that you have read through our Church Street Farmers Market Policies and Procedures document and you are agreeing to the terms. Please also print and sign this copy, then mail to Sweet River Farm att: Church Street Farmers Market 175 North Rd Deerfield, NH 03037

Signature *By signing this, you agree to all of the above terms.

Pop-up Christmas Market

Vendor Application 2024

CHURCH STREET FARMERS MARKET, A SUBSIDIARY OF SWEET RIVER FARM