New Member
Application
Before filling out the application, please ensure that you are ready to upload copies of your KS Sales Tax Certificate, a Certificate of Insurance, and copies of any licenses that your business holds.
Your application cannot be processed until all required documents are submitted.
TERMS & CONDITIONS:
To become a member of Kansas Grown! Inc., and to be permitted to sell products at Kansas Grown! Farmers Market, the undersigned hereby agrees to the following conditions:
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To accurately complete all information requested on this form.
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That I have fully read and understand this form as well as the following documents: 1) Bylaws of Kansas Grown! Inc., and 2) Operational Rules for Kansas Grown ! Inc.
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That if I am selling produce or food products, I have also read and understand the following document: Food Safety Guidelines for Kansas Farmers Market Vendors: Regulations and and Best Practices.
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To sell only as a producer, Kansas-grown or produced products at the Kansas Grown! Inc. Farmers’ Market, and not have annual gross sales of more than $225,000 per year.
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That I am in complete compliance with all requirements set forth in the above referenced documents and will abide by all rules of conduct.
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That all disputes or grievances regarding membership issues or issues relating to the operation of the Farmers Market will be resolved exclusively through the established grievance procedure.
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That membership and sales privileges at the Farmers Market may be revoked by the Market Manager or the Grievance Committee in accordance with the procedures established.
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To abide by the decision of the Membership Committee, which has the exclusive authority to approve or deny any membership.
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To hold harmless and release from all liability, Kansas Grown! Inc., as well as its Directors and the members of the Grievance Committee with respect to the performance of their duties regarding enforcement of the Bylaws, Operational Rules and Code of Conduct.
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To provide a copy of a valid Kansas sales tax registration certificate, and a certificate of business liability insurance, along with any other licenses that may be required.
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That I am 18 years of age or older.
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That I will pay the annual membership dues ($100 for full membership, or $50 for provisionals) upon approval of this application.
CONTACT INFORMATION:
BUSINESS INFORMATION:
REQUIRED DOCUMENTS:
REMINDER - Your application cannot be processed until ALL required documents have been submitted!
Your COI must show coverage of at least $1M per occurrence, $2M aggregate; and show "Kansas Grown! Inc." as the certificate holder.
(see example)
OR - you may email a copy to: ksgrowninc@gmail.com
In order to be reimbursed for market tokens, all vendors must have a valid W-9 form on file.
Please fill out this form and return either with this application, or before your first market date.
(Download W-9 form)
OR - you may email a copy to: ksgrowninc@gmail.com
Please fill out the License Submission form to submit copies of any licenses held. Please fill out the form once for each individual license.
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OR - you may email a copy to: ksgrowninc@gmail.com
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For questions about licensing requirements, labeling, food safety, and more – please review Food Safety Guidelines for Kansas Farmers Market Vendors: Regulations and and Best Practices.
PHOTOS:
(A Logo or Photo to represent your business)
(Up to 10 additional photos of your products, packaging, process, your vendor booth, or anything that will show us more about your business.)
OR - you may email photos to: ksgrowninc@gmail.com
Including photos will assist the committee in making their decision; and they will also be used in your online vendor profile.
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