Online Application

Lincoln County Crossroads Farmers Market Application

* Indicates required field

Name *

Business Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Idaho Tax Number *

Website / Social Media *

Emergency Contact / Relationship *

Emergency Contact Phone Number *

Category *

Farmer / Produce On Site / Specialty Food Community Booth Artisan

What will you be Selling? *

The 2022 market season will begin on Friday, June 3, 2022 and end Friday, September 30, 2022. There will be no Friday, July 8, 2022, due to Shoshone Arts in the Park. The hours will be 3:00 pm to 7:00 pm.

I am interested in participating in *

Full Season - $75.00 Flat Rate Specific Date - $6.00 per Date

Are you Organic Certified (Copy of License Required) *

Yes No

If reselling from wholesale, where is the origin of the merchandise? Please include contact information *

Other Comments / Questions *

Please contact the Shoshone Chamber of Commerce with any questions
lccfarmermarket@gmail.com
(208) 886-9811

Signature *

Date *

Submit

YOUR CART