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APPLICATION FOR PERMIT FOR HAMILTON FARMERS’ MARKET 2009

　

Instructions: Please complete and return this application with appropriate payment to the Village of Hamilton,

3 Broad Street, P.O. Box 119, Hamilton, NY 13346. Application must be completely filled out or it will not

be accepted.

Name: _______________________________________________________________________________________

Business Name: _____________________________________________________________________ __________

Street Address: __________________________________________________________________________________

City: ___________________________________________________ State: _________ Zip Code: ____________

E-Mail address: ___________________________________________ Website: ____________________________

Home Phone#: ______________________________________ Cell Phone#: ________________________________

License Plate#___________________________ NYS Sales Tax #: ______________________________________

Type of permit applying for: (whole season, half season) _______________________________________________

Please check all the items you wish to sell and list your specialty.

_____ Fruits and/ or vegetables Resale? ______

_____ Plants and/ or flowers Resale? ______

(Required to be licensed in accordance with Article 14 of the Agriculture and Markets Law)

Please see www.agmkt.state.ny.us/Thedepartment.html

_____ Honey, Maple Syrup or Apple Cider (cider must be pasteurized) Resale? ______

_____ Eggs Resale? ______

_____ Baked Goods (must be wrapped or placed in paper or plastic)

_____ Crafts (must be handmade by vendor)

_____ Dairy Products Resale? ______

_____ Meats, Fish/Seafood or Home-canned Goods Resale? ______

(Must be licensed by NYS Dept. of Agriculture and Markets)

List your specialty: Please be specific ________________________________________________________________

Do you need an electric outlet? ______ Is Handicapped accessibility required? ________________

Are you requesting one of our Community Spaces? ________

Are you raising money for a specific charity? __________ Which charity? ________________________

Are you informing patrons of a specific organization? _______ Which organization? ___________________

Were you a vendor in the Farmers' Market in 2008? _______

Do you want to request your site from 2008? ______________ Your Site Number? ____________________

　

　

THE FOURTH OF JULY PARADE AND FESTIVITIES WILL BE HELD ON SATURDAY, JULY 4TH, AND WILL NOT BE PART OF THIS CONTRACT. YOU WILL RECEIVE SEPARATE INFORMATION FROM THE FOURTH OF JULY COMMITTEE.

CURB SPACES (limited number of spaces): please circle appropriate amount

Vendors with fruits, vegetables, plants, honey, cider, maple syrup, cheese, meats, home-canned goods, or eggs purchased for resale:

Full Season Permit (May 2 – Nov. 7) $265.00

Half Season Permit (May 2 – Aug. 1) $140.00

(Aug. 8 – Nov. 7) $140.00

- Permitted items handmade or grown by vendor:

Full Season Permit (May 2 – Nov. 7) $135.00

Half Season Permit (May 2 – Aug. 1) $75.00 (Aug. 8 – Nov. 7) $75.00

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PARK SPACES: please circle appropriate amount

Vendors with fruits, vegetables, plants, honey, cider, maple syrup, cheese, meats, home-canned goods, or eggs purchased for resale:

Full Season Permit (May 2 – Nov. 7) $185.00

Half Season Permit (May 2 – Aug. 1) $100.00

(Aug. 8 – Nov. 7) $100.00

- Permitted items handmade or grown by vendor:

Full Season Permit (May 2 – Nov. 7) $95.00

Half Season Permit (May 2 – Aug. 1) $55.00

(Aug .8 – Nov. 7) $55.00

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One Saturday Permit –Seasonal produce only $15.00 (No discounts apply)

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Note: Rules and Fees are subject to change before the market season begins.

Children under the age of 16 selling items made or grown by themselves: $4.00 month

______ 10% Senior Citizen Discount* (Age 65 and over) State Age______

______ 10% Village Resident Discount*

*Both discounts may apply

We have 6 spaces at no charge available for non-profit community groups to use on a rotating basis for information and fund raising activities. You must obtain a permit from the Village Office.

I hereby agree to comply with all regulations governing the Village of Hamilton Farmers’ Market. I hereby certify that the information completed above is true and accurate. I further understand that any applicant who makes false statements, representation of certification in this application shall be subject to a fine and/or revocation of their permit.

Vendor-Signature _____________________________________________ Date: __________________________

Do you give authorization to the Village of Hamilton to give your name and phone number to prospective customers? __________________

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OFFICE USE ONLY

Fee Paid: $ ___________ Discount amount $ _________ Date: __________________________

Check # ______________ Employee Init. __________