Farmers' Market Application Form

Your Name*

Business Name/Trading as*

Vehicle Registration Number

Business Address*

Street Address Address Line 2 City ZIP / Postal Code

Business Telephone*

Business Mobile

Business Website

Business Email*

Home Address

(if different)

Street Address Address Line 2 City ZIP / Postal Code

Home Telephone

Home Email

Please tick the box that best describes your CORE business

“All produce must be grown, reared, brewed, pickled, baked or processed by the stallholder within the locally defined radius.”

Please give details of ALL products to be sold at the markets and where they are produced, including origin of ingredients (at least 10% must be local). You will only be permitted to sell products listed here. If you change your trade or develop new lines, you will need to fill out a new application form. Please note that no bought-in produce may be resold without further processing.

Details of ALL products to be sold

Remember to include details of source, e.g. where flour is bought from AND where it is sourced from (such as bought from mill in Bristol, sourced from all over the world).

Please list other outlets for your produce including farmers’ markets

Please tick the months in which you are able to sell your produce or products

To qualify to sell at a Farmers’ Market, produce must be sold by the producer, a family member or by a member of staff directly involved in the production of goods on sale. Who will be attending the markets to sell your produce?

Name 1

Position 1

Name 2

Position 2

Name 3

Position 3

NB: you are responsible for the conduct of anyone selling at your stall, antisocial behaviour will jeopardise the continued presence of your business at the market

Do you require connection to an electricity supply?

Yes
No

Public Liability Damage
Traders are expected to insure themselves to cover public liability damage, fire & theft and must assume full responsibility for all their stands, goods and the safety of their electrical equipment. All electrical equipment should hold a current Portable Appliance Electrical Certificate. A copy of your Public (minimum £5 million), Product and Employee Liability Insurance, covering Street Trading Activity must accompany this application form. Please give the name of the insurance company that provides your Public, Product and Employee Liability Insurance, the policy number and expiry date

Insurance company name

Policy number

Expiry date

Please attach Insurance Details*

e.g. Photocopy of paper work

Accepted file types: doc, docx, pdf, txt, rtf, Max. file size: 100 MB.

Are you a member of any assurance or certification scheme (e.g. Organic, LEAF)

Yes - Please upload a copy of your certification documentation below
No

Certificate Documentation Upload*

Accepted file types: doc, docx, pdf, txt, rtf, Max. file size: 100 MB.

Note: Further licence/certificates may be required and displayed at the stalls for the selling of game (Game Licence), prepared food (Food and Hygiene Certificate) and the selling of alcohol etc. Copies should be supplied with this application.

Declaration: The market committee on behalf of Nailsea Town Council are responsible for screening each potential vendor for their suitability at the market. They have the right to suspend any producer who is found not to be complying with the conditions of the Farmers’ Market. Your use of the stall shall at all times and in all respects be at your own risk to the extent that Nailsea Town Council and Nailsea Trustee Company Ltd shall not be liable for any damage/injury or loss whatsoever caused or suffered by you or your employee or any other persons save as provided by law or statute.

Enclosures

Copies of Certificates/Licences
Copy of Basic Food Hygiene Certificate For Food Processors
Copy of Insurance Policy
Proof of Local Ingredients

Additional Document Upload

Accepted file types: doc, docx, pdf, txt, rtf, Max. file size: 100 MB.

Applicant Statement*

Please tick to acknowledge

I have read and understood the above declaration.

I agree to sell only items that I have produced, grown or raised myself.

One of the persons named above will be present at my stall.

I understand that my details may be passed to Environmental Health and Trading Standards.

I agree to assist in any inspections and/or visits required to verify the above statements.

My insurance is current and I enclose a copy of the policy along with all other relevant certificates.

I agree to uphold the rules of the market and to ensure that my representatives do likewise.

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Farmers’ Market Application Form