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PROSPECTIVE VENDOR INTEREST FORM

Motor Avenue Farmers Market


3751 Motor Ave. #341248
Los Angeles, CA 90034

Business
Farm___

Type:
Seafood/Meat___

PH: (310) 202-9002


FAX: (310) 202-0433
Email: market@motorassociation.org

Prepackaged Food ___

Prepared Food___

Other_________

Business Name: ___________________________________


Contact Name: ______________________________
Address: ______________________________________________________
______________________________________________________
City: __________________________________
Zip: _____________
Website: ______________________________________________________
Short list of products:
_____________________________________________________________________________________
_____________________________________________________________________________________
FOR FARMERS:
Size of farm/number of acres: __________
Number of years farming: __________
Growing Practice: Organic__ California Clean__ Conventional__ Other: ________________
Organic Farmers: State Registration #: __________________ Certified by: ____________________
Items you plan on bringing to the market:
_____________________________________________________________________________________
_____________________________________________________________________________________
FOR FOOD VENDORS:
Please provide a description of your products, as well as a list of the ingredients that you use in your
products and a brief summary of where they are sourced from, if possible. Please indicate any organic
or non-GMO ingredients, or any other special information, and attach photos if available.
_____________________________________________________________________________________
_____________________________________________________________________________________
FOR ARTISANS/OTHER:
Please provide a description of your products, as well as any photos or samples you have available.
_____________________________________________________________________________________
_____________________________________________________________________________________

Please submit your application by fax at (310) 202-0433 or email at market@motorassociation.org.

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