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Amsterdam Exchange Farmers Market Vendor Application and Agreement

The Amsterdam Exchange Farmers Market is a medical marijuana (cannabis) access point. It exists for
the sole purpose of providing a safe, secure and efficient location for producers of medical marijuana
and medical marijuana products to provide medical marijuana patients with high quality medicine. The
vendor signing this document hereby agrees to abide by the terms and conditions listed in the
Amsterdam Exchange Farmers Market Policy Agreement signed by the vendor and stored in our
records in order to fulfill that singular purpose. This agreement is for the use of space and is not a lease
nor is it an offer to lease.
Vehicle Information
Make: ____________________

Make: ____________________

Model: ____________________

Model: ____________________

Tag No. ____________________

Tag No. ____________________

Vendor Name ________________________________________________________________


UBI Number__________________________________________________________________
Booth Attendee(s) ____________________________________________________________
Address _____________________________________________________________________
____________________________________________________________________________
Primary Phone ____________________________ Cell Phone _________________________
Email Address ________________________________________________________________
Website _____________________________________________________________________
This agreement is for:
Kitchen Monthly - $4,000

Dab Bar Monthly - $4,000

Date(s) you would like to participate: _____/_____/______ to ______/_____/______


Deposit Amount: _____________ Received by: ____________________________ Date: ___________
By signing below, the Vendor acknowledges that this application does not automatically reserve a
Market space, but may place them on a waiting list based on space. Additionally, the Vendors signature
below indicates that Vendor has read and understands the Amsterdam Exchange Farmers Market
Policy Agreement and that any violation of the policies contained therein may result in loss of their
booth rental privileges. Vendor also acknowledges that such policies may be amended from time to time
and agrees to abide by the terms of any such amendments if Vendor continues to vend at the Market.

Signature: ________________________________________________________Date: ____________

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