Contact Name *

First Name

Last Name

Phone *

(###)

###

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Business Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you a returning Jackson County Farmers Market vendor? *

Yes

No

Vendors that grow or produce their offerings in Jackson County or the surrounding counties are prioritized, although we will consider other vendors. We require all produce to be grown by the farm itself and all goods to be handcrafted by the seller, no reselling at JCFM. *

I have read the above information