RAWHIDE'S GILA RIVER FARMERS' MARKET APPLICATION by xbz20178

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									                            GIL A RIVER FARM E R S ' M A R K E T AT W I L D H O R S E PA S S




                            RAWHIDE’S GILA RIVER FARMERS' MARKET APPLICATION



Business Name: ___________________________________________________________________________________
Contact Name: ____________________________________________________________________________________
Mailing Address: Street/P.O. Box ______________________________________________________________________
City: ___________________________________________________ State: ___________ ZIP: _____________________
Physical Location: Street(s) __________________________________________________________________________
City: ___________________________________________________ State: ___________ ZIP: _____________________
Phone: Business: _________________________ Home: _____________________ Cell: _________________________
Email address: ___________________________________ Website: _________________________________________
Names of employees/family members etc. who may sell for you at the Market: ________________________________
 ________________________________________________________________________________________________
 ________________________________________________________________________________________________
Emergency Contact: _________________________________________ Number: _____________________________
Saturday Market: Days you expect to participate (please circle), or select ALL DAYS (please circle).




    Oct.       Nov.       Dec.       Jan.       Feb.       Mar.       Apr.       May        June       July       Aug.       Sept.
     ’09        ’09        ’09        ’10        ’10        ’10        ’10        ’10        ’10        ’10        ’10        ’10

3          7          5          2          6          6          3          1          5          3          7          4
10         14         12         9          13         13         10         8          12         10         14         11
17         21         19         16         20         20         17         15         19         17         21         18
24         28         26         23         27         27         24         22         26         24         28         25
31                               30                                          29                    31
                       GIL A RIVER FARM E R S ' M A R K E T AT W I L D H O R S E PA S S

Number of Spaces Requested (12’x25’ each): ____________________________________________________________
Request of truck usage along side of vendor space during market hours: yes        no
If yes, please describe type of truck, year, make and model: ________________________________________________
Health Permit # (If applicable): _______________________________________________________________________
For more information: (602) 506-6872 Maricopa County Health
Gila River Indian Community Business License #: ____________________________________________________
For more information call Office of the Treasurer: (520) 562-9950
State of Arizona Sales Tax Permit # (If applicable): ________________________________________________________
For more information call AZ Dept. of Revenue: (602) 255-2060 or (800) 843-7196
Liability Insurance Certificate: ________________________________________________________________________
yes   no
Products you plan to sell (brief description): ____________________________________________________________
 ________________________________________________________________________________________________
Interested in volunteering at the Market: yes    no
Percent of products you sell grown/produced in Arizona ____________________ %


Signature: _________________________________________________ Date: ______________________________




                     Please fill in the following and return your application by fax or mail to:
                                  Gila River Farmers' Market at Wild Horse Pass
                                                      Rawhide
                                           5700 West North Loop Road
                                                Chandler, AZ 85226
                                              Phone: (480) 705-2936
                                                Fax: (480) 705-2949



                FOR ADDITIONAL INFORMATION, QUESTIONS OR COMMENTS, PLEASE CONTACT
                    Chef Michael Cairns at 480.705.2936 or Michael.Cairns@Rawhide.com or
                             Joseph Yu at 520.796.5389 or JYu@wildhorsepass.com

								
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