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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 Select files 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 Select files 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-proceduresProduct Name* Price: Tax rate is automatically applied. Madisonville: 4.250% / Louisiana State: 4.450%Total $0.00 Credit Card Cardholder Name Card Details CAPTCHANameThis field is for validation purposes and should be left unchanged.