
Date
Name of Farm
Location of Farm
Number of acres
Contact Information
Your name
Phone number
Fax number
e-mail address
web address
Mailing address
Farm address
Registered organic with the state? Yes No
Certified Organic? Yes No
Name of certifying organization
If not registered/certified, are you interested in transitioning to organic practices? Yes No
Do you use sustainable farming practices? Yes No
Other explanations of your growing methods
Would you be willing to post your growing methods including any pesticides you use? Yes No
Do you produce processed food items? Describe
Will you be selling year-round? If not, when to when?
What other markets do you currently attend? (Please note the day of each market)
The return of this application does not guarantee you a place in our Market. We have to make decisions based on the size of our Market and the representation of items. We will be contacting farmers that we can accommodate as soon as possible. Thanks for your response and for growing our food! Please return this application with a copy of your Producer’s Certificate, and, if applicable, Organic Registration and/or Certification documentation to the above address.
A project of The Familyhood Connection
Mailing address: P.O. Box 10677, Oakland, CA 94610 51-776-4178