* First Name

* Last Name

* Business Name

* Work Phone

* Home Phone

* Email Address

* Website

* Street Address

* Zip Code

* Please fill in all that apply
This form is secure, but if you don't feel comfortable submitting these numbers online you can call them in later. See our website for contact information. Do not email this information to us, email is LESS SECURE than this form.

* Please check which market days you would like to sell at:

* Please indicate your anticipated selling season by checking the month(s) you intend to sell at.

* Are you under 18 years old?

* Have You been an IFM vendor in the past?

Only Easy Entry Applications are accepted at this time

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