General Regulations Cottage Food Guidelines Farmer’s MarketVendor Registration Name* First Last Business or Farm Name* 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Social Media Pages:I sell at the following other markets:* None Haughton Greenwood Bossier City South Bossier Benton VA MLK Blanchard Provenance Other When the market is closed, I sell at the following other places:* None Whole Foods Sunshine Health Foods Drug Emporium/Vitamins Plus Cuban Liquor Cush's Maxwell's Market My Own Shop Other My products are predominately:* Homegrown Agricultural Products Homemade Products (made by you) Special ConsiderationsDo you need electricity?* Yes No What electrical devices do you plan to use? Be Specific.* What electrical voltage will you need?* 110v 220v Other None Do you need ventilation?* Yes No How much space do you need?* A limited number of 8x10 and 10x10 spaces are available and assigned at the discretion of the manager.Cottage Industry Laws* I have read the Cottage Industry Laws for this state and my product.Labels* I understand that all foods must contain a label stating "not made in a commercial kitchen" if that is the case, plus your contact information including your name or that of your company, plus a phone number, address and/or email address.Growers-Only Market* I agree that Shreveport Farmers' Market is a growers-only marketSupplemental Merchandise* Supplemental merchandise not grown by the applicant must be approved in advance by the market manager.Regulations* I have read and agree to the current Shreveport Farmers' Market regulationsPlease list items that you will sell at the Shreveport Farmers' Market:*Please list the address and/or directions to where your product is grown.*Assistance Program Participation*Will you accept any of the following? Senior Farmers' Market Nutrition Program SNAP (Food Stamps) for eligible purchases None I will pay* For the entire summer Monthly Please upload any additional documents here. Drop files here or Select files Max. file size: 128 MB. Acknowledgment* By checking this box, you understand that this application will go under review and you will be contacted by the Shreveport Farmers' Market Manager for approval/rejection.Are you a Returning Vendor or a New Vendor?* Returning Vendor New Vendor Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Total $0.00
