HomeMy Public PortalAboutFarmers Market Whole Food ApplicationTOWN OF BREWSTER
2198 MAIN STREET
BREWSTER, MA 02631
PHONE: (508) 896-3701 EXT 1120
FAX: (508) 896-4538
BRHEALTH@BREWSTER-MA.GOV
WWW.BREWSTER-MA.GOV
OFFICE OF
HEALTH DEPARTMENT
FARMERS’ MARKET WHOLE FARM PRODUCT
REGISTRATION FORM
Name of Business: ___________________________________________________________________
Business Address: ____________________________________________________________________
Mailing Address: ____________________________________________________________________
Business Phone: ______________________ Fax: __________________________________________
Email: _____________________________________________________________________________
PLEASE LIST SPECIFIC PRODUCTS TO BE SOLD AT THE MARKET:
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I agree to adhere to the Board of Health Farmers’ Market Policy and Conditions for Farmers’ Markets and
Farmers’ Market Food Vendors.
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Applicant’s Signature Date
Approved ___ Not Approved ___
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BOH or Health Agent Date