State of Connecticut in Partnership with the Department of Agriculture Farmers' Market Vendor Application 2024 Vendor application for the Connecticut Regional Market. Connecticut Regional MarketFarmer vendors may not resell any products. All products must be grown on your farm. This field is hidden when viewing the formCONTACT INFORMATIONContact Name* First Last Business Name* First Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Business Email* TIME PERIOD AT REGIONAL MARKETPlease select the amount of time you intend to participate at the Regional Market 3 Months 6 Months Full Season Month & Day - SPRINGPlease select the month(s) and day(s) you intend to participate at the Regional Market Select All April 2024 Saturday Sunday May 2024 Saturday Sunday June 2024 Saturday Sunday PREFERRED NUMBER OF STALLS FOR SPRINGMonth & Day - SUMMERPlease select the month(s) and day(s) you intend to participate at the Regional Market Select All July 2024 Saturday Sunday August 2024 Saturday September 2024 Saturday PREFERRED NUMBER OF STALLLS FOR SUMMERMonth & Day - FALLPlease select the month(s) and day(s) you intend to participate at the Regional Market Select All October 2024 Saturday November 2024 Saturday December 2024 Saturday PREFERRED NUMBER OF STALLS FOR FALLMonth & Day - WINTERPlease select the month(s) and day(s) you intend to participate at the Regional Market Select All January 2025 Saturday February 2025 Saturday March 2025 Saturday PREFERRED NUMBER OF STALLS FOR WINTERCOVERED STALLS - (Farmers Only) Number of Stalls for 3 Months Number of Stalls for 6 Months Number of Stalls for a Full Season COVERED STALLS - (Quantity) Quantity Price: $0.00 Quantity UNCOVERED STALLS - (Farmers Only) Number of Stalls for 3 Months Number of Stalls for 6 Months Number of Stalls for a Full Season UNCOVERED STALLS - (Quantity) Quantity Price: $0.00 Quantity UNCOVERED STALL (Jobber) Number of Stalls for Full Season UNCOVERED STALL - (Jobber) Quantity Price: $0.00 Quantity Total $0.00 Credit Card*
State of Connecticut in Partnership with the Department of Agriculture Farmers' Market Vendor Application 2024 Vendor application for the Connecticut Regional Market. Connecticut Regional MarketFarmer vendors may not resell any products. All products must be grown on your farm. This field is hidden when viewing the formCONTACT INFORMATIONContact Name* First Last Business Name* First Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Business Email* TIME PERIOD AT REGIONAL MARKETPlease select the amount of time you intend to participate at the Regional Market 3 Months 6 Months Full Season Month & Day - SPRINGPlease select the month(s) and day(s) you intend to participate at the Regional Market Select All April 2024 Saturday Sunday May 2024 Saturday Sunday June 2024 Saturday Sunday PREFERRED NUMBER OF STALLS FOR SPRINGMonth & Day - SUMMERPlease select the month(s) and day(s) you intend to participate at the Regional Market Select All July 2024 Saturday Sunday August 2024 Saturday September 2024 Saturday PREFERRED NUMBER OF STALLLS FOR SUMMERMonth & Day - FALLPlease select the month(s) and day(s) you intend to participate at the Regional Market Select All October 2024 Saturday November 2024 Saturday December 2024 Saturday PREFERRED NUMBER OF STALLS FOR FALLMonth & Day - WINTERPlease select the month(s) and day(s) you intend to participate at the Regional Market Select All January 2025 Saturday February 2025 Saturday March 2025 Saturday PREFERRED NUMBER OF STALLS FOR WINTERCOVERED STALLS - (Farmers Only) Number of Stalls for 3 Months Number of Stalls for 6 Months Number of Stalls for a Full Season COVERED STALLS - (Quantity) Quantity Price: $0.00 Quantity UNCOVERED STALLS - (Farmers Only) Number of Stalls for 3 Months Number of Stalls for 6 Months Number of Stalls for a Full Season UNCOVERED STALLS - (Quantity) Quantity Price: $0.00 Quantity UNCOVERED STALL (Jobber) Number of Stalls for Full Season UNCOVERED STALL - (Jobber) Quantity Price: $0.00 Quantity Total $0.00 Credit Card*