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2. Leroy James Farmers Market

   4560 County Home Road

   Greenville, NC 27858

   
   

3. (Farmers Market staff only) Yearly Fee Paid
5. Full Name
7. Mailing Address
9. City & Zip Code
10. Home County
12. Phone
14. E-mail
16. Please list each type of craft on a separate line with a description

    Note: Crafts must be handmade. Craft vendors should furnish one picture of the finished product along with one picture of the craft-making process. Pictures can be submitted by email to Larita Johnson.

18. By checking this box, you agree that the information on this form is accurate and you are the person listed on this application.

    1. Agree
19. Date
    Date
21. Submitted by/Electronic Signature*

    Please print full name

23. ***$50 yearly fee is non-refundable, payable to Leroy James Farmers Market and submitted to Larita Johnson via cash or check at the Farmers Market***

27. This section is for Farmers Market staff only. Please do not fill in any information into the below questions.

29. Vendor #
30. Certified by (Farmers Market Staff Full Name)
32. Phone
33. E-mail
34. Date
    Date
Leave This Blank:


36. Submit

* indicates a required field