Farmers Market Application

Please Note: All products must be grown/produced in New England to be sold at the Lowell Farmers’ Market.

General Information

First Name

DOB

Last Name

Cell Phone

Personal Email

Veteran Status

Home Address

City

State

Zip Code

Legal Business Name

Job Title

Business Address

City, State

Zip Code

Website

Facebook

Instagram

Do you have employees

yesNo

If so, How many?

Your business Is ( Select all that apply)

What products do you plan to sell at the market? Please be very specific.

Are you certified by the MA Department of Agricultural Resources to accept WIC and elder coupons?

YesNo

Are you certified organic? If yes, please attach document.

YesNo

FOR PREPARED FOOD VENDORS

Where do you purchase the primary ingredients for your products?

Does your Business have a storefront?

YesNo

If no, please indicate where the foods are prepared (Proof of operating is agreement required)