Become a VSBO

Application

Thank you for your interest in joining the Very Small Business Family of Madisonville Market.

Before applying, please read our Policies & Procedures by clicking here.

VSBO Application/Registration Form (1)

Business Name*
Date*
MM slash DD slash YYYY
Contact Person*
First Last
Phone*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Email*
Website or Facebook Link*
Are you considered handicapped?*
- Yes
- No
License Plate Number*
Photo Authorization*
I authorize Northshore Maker's Market Foundation/Madisonville Market to post pictures of me and/or my VSB stall periodically on the Northshore Maker's Market Foundation and/or Madisonville Market Facebook page and/or website..
Ownership Structure*
- Sole Proprietorship
- LLC
- DBA
Business Description*
- Agricultural Producer
- Non Agricultural Producer
Tax Identification Number
Please provide a one sentence description of you and/or your product which may be used in marketing material.*
Description or Product List*
Please upload pictures of your products or booth.
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 256 MB.
Please attach Proof of Product Liability Insurance or Proof of General Liability Insurance.
Drop files here or

Max. file size: 256 MB.
I certify that products for sale in my booth are made, baked, or grown by myself as set out in the NMM Foundation Policies and Procedures (https://madisonvillemarket.org/policies-procedures).*
I have read and understand the NMM Foundation Polices and Procedures, and agree to abide by them as a participant in the Northshore Maker's Market Foundation.
Link to Policies and Procedures: https://madisonvillemarket.org/policies-procedures
Product Name*
Price:
Tax rate is automatically applied. Madisonville: 4.250% / Louisiana State: 4.450%
Total
$0.00

Credit Card

Cardholder Name

Card Details

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Name
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Become a VSBO

Application

VSBO Application/Registration Form (1)

Madisonville Market

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