I have read and agree to Court & Main's Rules & FAQ's
—Please choose an option—YesNo

First & Last Name*

Business Name*

Website/Store

Facebook Page Link

Instagram Link

Other Social Media

Email Address

Mailing Address*
Phone Number*

PayPal Email

Does your booth require electricity?*
—Please choose an option—Yes, I need electricityNo, I do not require electricity

Please select your booth space size*:
—Please choose an option—10 x 10 ($32.00)10 x 20 ($64.00)Small Clothing Boutique - 10 x 10 ($52.00)Small Clothing Boutique - 10 x 20 ($104.00)

Please enter a brief description of the items you create/sell*:
Please upload a photo of your product or business logo for promotion (JPEG Only).



What market(s) are you applying for?* (Please select all that apply)
-June 14, 2019
-July 12, 2019
-August 9, 2019
-September 13, 2019

**FOR FOOD VENDORS ONLY**

For vendors selling baked goods, canned goods or produce:

Are you a member of the Taylor County Farmer's Market?
(Court & Main Market is an alternative location to the Taylor County Farmer's Market)
—Please choose an option—YesNo

I will be selling dried fruits & vegetables, dried or fresh herbs & nuts, fruit jams, jellies, preserves, fruit butters, maple syrup, sorghum, breads, cookies, cakes, candy and/or pies and am providing a copy of my Food Handler or ServSafe certification.
—Please choose an option—YesNo

I will be selling higher risk foods such as pressure canned vegetables, pickled fruits and vegetables, tomatoes and tomato products, salsa, barbecue sauce, pepper or herb jellies, herbal vinegars, low or no sugar jams and jellies, and am providing a copy of my home-based processor certificate.
—Please choose an option—YesNo

I will be giving out cooked and/or processed product samples and am providing a copy of my cooked or processed Sampling Certificate.
—Please choose an option—YesNo

I will be giving out raw and/or uncooked product samples and am providing a copy of my all samples certificate.
—Please choose an option—YesNo

I am selling other foods not listed, and am providing a copy of your Temporary Food Permit or Farmers Market Temporary Food Permit and Food Handler's Permit.
—Please choose an option—YesNo

I am a certified food truck vendor and am providing a copy of my statewide Mobile Food Truck Permit and Food Handler Permit.
—Please choose an option—YesNo