Marché de Dieppe Market

Application form

Please note: It is highly recommended to apply at least three weeks prior to any desired start-up date. The Local Products Centre is committed to processing each application promptly and confidentially.

APPLICANTS MUST HAVE READ AND UNDERSTOOD THE MARKET RULES PRIOR TO FILLING OUT THIS FORM

Business name:

Name of main contact person:
Role:

Names of other people involved:

Name:
Role:

Address:

City, province:
Postal code:

Phone number (day):
(evening):

Other phone (please specify):

Fax: Email:

Website:

1- Type of Vendor permit required:

Annual Seasonal occasional Special events

2- Period or dates required:

3- Main type of products (please circle):

raw agricultural products processed products ready-to-eat arts & crafts other (please specify)

4- For each product that you want to sell at the Dieppe market, please include in the table below the following information:

1) Detailed description of each product
2) Product category (please choose one of the following categories):

Raw agricultural product grown or produced in Westmorland County, Albert County, Kent County, or the civic parish of Rogersville, and sold by their producer.
Agricultural product grown or produced in Westmorland County, Albert County, Kent County, or the civic parish of Rogersville, crafted or processed locally by their producer, and sold by their producer.
Raw agricultural product grown or produced in Westmorland County, Albert County, Kent County, or the civic parish of Rogersville, and sold by another local (see Note 1) producer.
Product grown or produced in Westmorland County, Albert County, Kent County, or the civic parish of Rogersville, crafted or processed locally (see Note 1), and sold by the processor.
Product processed in Westmorland County, Albert County, Kent County, or the civic parish of Rogersville, without using products grown locally (see Note 1).
Product from outside Westmorland County, Albert County, Kent County, or the civic parish of Rogersville.

3) Percentage of product components from Westmorland County, Albert County, Kent County, or the civic parish of Rogersville.

Detailed description of each product	Product category A to F (see list above)	% of product components produced locally (see Note 1)

Note 1: "Local" and/or "locally" means "from Westmorland County, Albert County, Kent County, or the civic parish of Rogersville"

5- Have you ever sold your items in a market? YES NO

If YES, please specify where and during which period of time?

6- Briefly describe your operation:
Brief description of other sales outlets or point of sales:

Staff size:

Approximate acreage in:
Fruits :
Vegetables :

Other crops :

Herd sizes/types:

Other noteworthy aspects:

7- Does your business carry liability insurance coverage?
YES NO

8-Specific needs and preferences for the market:
Desired location type:
a) Inside Outside
b) Against a wall or not? YES NO
c) Corner Center of aisle
d) Permanent building Temporary unit

Dimensions of booth required :
a) Surface (sq. ft.) Min : Max :
b) Kiosk width (running feet) Min : Max :

Do you require water at your booth? YES NO

Do you require electricity? YES NO

If you need electricity, which appliances will you use and what is their consumption in kWh ?

9- Other comments or specifications:

I acknowledge that I have read and that I understand the Dieppe Market Rules. I will abide by these rules with the understanding that failure to do so may result in the loss of my privilege to sell at the Market. I recognize that the Local Products Center Inc. does not guarantee to accept neither my application nor the specifications requested herein. A cheque payable to Marché de Dieppe Market in the amount of $30 (non-refundable administration free) has been mailed.