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. All food VSBO must have 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 CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ