If you do not have access to a fax machine you may mail a copy of the application to:
TOP OF THE HILL FLEA & FARMER MARKET
C/O AMYJO PFEIFER
1252 Lake Street, Cleveland NY 13042

or you may EMAIL it to: ppfeifer1@twcny.rr.com

VENDOR APPLICATION


I CERTIFY THAT I HAVE READ THE "TOP OF THE HILL FLEA & FARMER MARKET" RULES AND REGULATIONS, VENDOR INFORMATION, INCLUDING ALL MANAGEMENT DISCLAIMERS AND HEREBY AGREE TO AND WILL ABIDE BY AND OBEY ALL OF THE ABOVE.

DATED THIS_____DAY OF___ ,20___

 

VENDOR SIGNATURE:________________________

PRINT NAME_________________________________

SPECIFY BUSINESS NAME__________________ or (circle) GARAGE SALE

 

BOOTH #(S) REQUESTED_____ (circle) INDOOR/OUTDOOR

TABLE RENTAL_____ ($5/TABLE)

DATES REQUESTED_________________________________

 

HOME PHONE________________ BUSINESS PHONE_______________

EMAIL________________________        CELL PHONE_______________

ADDRESS______________________________________________________D.O.B.________________________

NYS TAX ID NUMBER_______________________

 

 

**PLEASE FAX A COPY OF YOUR APPLICATION AND GENERAL LIABILITY INSURANCE DECLARATION WITH "TOP OF THE HILL FLEA & FARMER MARKET" LISTED AS AN ADDITIONAL INSURED TO (315)820-4112**

 

ALSO BE SURE TO INCLUDE COPIES OF ANY APPLICABLE LICENSES OR CERTIFICATES