2021 Non Profit Application Application for Non Profit vendors in the 2021 season Step 1 of 4 25% Today's DateDate of completing the application MM slash DD slash YYYY Organization SelectionChoose One: Returning Organization New Organization Do you need to update any contact info?Choose One: Yes No Contact InfoOrganization Name Name of Primary ContactThen list additional names of Representatives that may staff your space throughout the seasonFirstLast Add RemoveAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone (Primary)Phone (Alternate)FaxEmail Vendor DirectoryWould you like your Business added to our Vendor Directory Page? Yes No Web and Social MediaWebsite / URL Facebook TwitterThis is not your @Twitter Handle Instagram Organization InformationProvide a brief description of your Organization's Mission and GoalsPlease list all activities you plan on having at the marketie. Including information sessions, programming, etc. Please note that political campaigning and sales are not permitted as a free booth activity Add Remove Vendor BoothsEach stall is approximately 10’ wide (front) by 20’ deep (sides)DatesPlease check ALL weeks you plan on attending the market: June 20 June 27 July 4 July 11 July 18 July 25 August 1 August 8 August 15 August 22 August 29 September 5 September 12 September 19 September 26 October 3 October 10 Terms and ConditionsPlease Check to ConfirmTerms of Service(Required)I have read and agree to abide by all 2021 Market in the Valley guidelines. I agree that Northwest Community Farmers Market Connection DBA Market in the Valley (Market in the Valley) and the City of Golden Valley, and their respective officers, employees, agents, and consultants are not liable for any injury, theft, or damage to either the buyer or seller, on their property, arising out of or pertaining to preparation for or participation in Market in the Valley; whether such injury, theft or damage occurred prior, during, or after Market in the Valley, Business/Farm further agrees to indemnify, defend and hold harmless Market in the Valley and the City of Golden Valley and their respective officers, employees, agents, and consultants for and against any claims for such injury, theft or damage. I understand that it is required that I carry my own general liability and product liability insurance, as Market in the Valley does not provide this coverage. Market in the Valley periodically takes pictures and videos of people participating in/attending Market in the Valley for marketing and promotional purposes. I grant permission to use the name, pictures, videos, and quotes of my employees and myself for this purpose. I agree to the Terms of Service There will be no moving vehicles in the market area between 8:45 AM and 1:05 PM. If you arrive after 8:45 AM, you must park in an adjacent area and walk your supplies (tents, tables, etc.) to and from your stall location. Failure to comply with this regulation may result in a loss of future attendance at the market.Market in the Valley shall not discriminate on the basis of race, color, creed, religion, ancestry, national origin, sexual orientation, disability, age, marital status or status with regard to public assistance.Organization Name Name of Group Representative First Last Signature of Group RepresentativeToday's DateDate of completing the application MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.