Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Policies, Procedures, and Rules *

I have read and agree with The Market at Raven Brook Contract. Please consider this checkmark as my signature.

Yes

No

Certificate of Insurance/Liability Insurance

I have a Certificate of Insurance (COI) and agree to provide The Farm at Raven Brook a copy of it naming The Farm at Raven Brook as Second Insured.

Yes

No

Not Applicable

Food Permit *

I agree to obtain a Food Permit through the Town of Halifax Board of Health. This is required for Vendors selling prepared and processed foods, meat and dairy. Please note the town of Halifax Board of Health Permits are due for renewal in December.

I currently hold a this permit through the Town of Halifax

I agree and apply and pay the fee to obtain this permit prior to the first event date I am participating in

Not Applicable - Non-Food Vendor

Tables and Tents *

I understand that I am required to provide my own table and chairs to all Markets. During the Summer Market, I am required to also provide my own 10'x10' tent with 40lb weights on each leg. During the Indoor Market, I am required to bring my own table.

Yes

No

The Market at Raven Brook - Summer/Fall Season (Outdoor)

What dates would you like to join us? Please note that priority is given to full season Vendors. ($30 per table/per date).

May 11th

June 8th

July 13th

August 10th

September 14th

October 12th

November 9th

Name *

First Name

Last Name