Please print out and complete this application. Mail to the address located at the bottom of the application. Thank you for your participation.

WIREGRASS FARMERS MARKET APPLICATION

 

Text Box: My farm/company is ______________________________________________________________ Please print or type name as you would like it to appear on the web site. I would like to list my agricultural product on Southeast Alabama Regional Planning and Development Commission’s web page under the Wiregrass Farmers Market. I understand that Southeast Alabama Regional Planning and Development Commission (SEARP&DC) will list the following information on the web site www.southeastalabama.com. Periodically I will check my information to ensure it is correct. If changes are needed to my listing, I will contact SEARP&DC in writing to make the needed changes. __________________________ ____________________ Signature (required) Date

Contact Information To list on Web Site

Category

Please check one:

¨ Produce   ¨  Plants    ¨ Live Stock    ¨ Bakery    ¨ Other

Contact Name

 

Title

 

Location address

 

Mailing Address (if different from location)

 

City/State/Zip

 

Email

 

Web site

 

Phone

 

 

 

Products to sell (list a maximum of 12 items or 24 words)

 

 

 

Season (i.e. year round, fall, Jun-Nov, etc.)

 

Days/Hours Open 

 

Please Read Disclaimer Carefully Before Submitting

General Disclaimer

Southeast Alabama Regional Planning and Development Commission, herein after referred to as SEARP&DC, is a NON-PROFIT organization, offering a service with the sole purpose of promoting Wiregrass agricultural products by listing the information provided on this application on the www.southeastalabama.com web site. Participants in this activity are solely by choice.  Participation itself releases SEARP&DC as an organization for any and all liabilities resulting from the web site listing.  All products, activities and events must comply with any and all federal, state, or local laws and ordinances.  Any individual involved in a suspected illegal activity will be immediately scrutinized by SEARP&DC and subject to immediate removal from participating in this endeavor and forbidden to claim any and all association with the SEARP&DC, to include, but not limited to:

Removal from the web site.

SEARP&DC encourages you to exercise discretion while using information contained within the SEARP&DC web site. SEARP&DC makes no representations concerning any endeavor to review the content of sites listed here, or any of the materials, and SEARP&DC is not responsible for the accuracy, copyright compliance or legality of material contained in sites listed or linked from our website.

Return form to:  SEARP&DC ATTN:  Farmers Market

PO Box 1406, Dothan, AL 36302