Updated 11.15.5

 Please print, fill out and fax or mail to: Japantown Business Association, 565 N. 6th St, Suite G, San Jose, CA, 95112 Fax 408.286.4413
 

 

San Jose Japantown Certified Farmersí Market Application

Farm (Business) Name                                                                                                                            

Principal(s) Name(s)                                                                                                                                 

Business Mailing Address                                                                                                                       

City__________________ Zip________ Business Phone                                                                      

Business FAX________________ E Mail Address                                                                                

Farm Address                                                                                                                                            

City___________________________ County                                                                                          

Your Name_____________________ Home Phone ____________________

Person(s) Selling                                   Relationship to Grower                   Verification

_________________________    _____________________            __________

_________________________   ______________________           __________

_________________________             _____________________   __________

_________________________             _____________________   __________

An annual membership entitles growers to a discount on stall fees and a voice in market policy. Growers are not required to join in order to sell their products but are certainly encouraged to do so.

______ I am applying for membership and am enclosing the twenty-six
              dollars ($26.00) annual membership fee.
______ I choose not to join at this time.

Please list the products you WISH TO SELL at the Japantown market and the approximate season of each.

                        Product                                                          Season

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

______________________________              ______________________________

I have read the market rules and agree to abide by them.

______________________________              ______________________________
Signature                                                         Date

_____ County Agricultural Certificate  _____ Certificate of Insurance

_____ Farm Map