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West Virginia Farmer Application 2024
Applying as: Farmer Farmers Market Farm Stand Local Farmer Cooperative Farmer’s Name: _______________________________________________________ Farm Name:___________________________________________________________ Mailing Address:
City/State/Zip:
Telephone:
Email Address:
Locations of Markets or Selling Locations: Please list the EXACT locations where you will be operating to accept FMNP and CVB benefits?
LOCATION
DAY(S)
TIMES (include county) (Example M – F) (Example 7 am – 6 pm)
1.___________________________________________________________________
2.___________________________________________________________________
3.___________________________________________________________________
4.___________________________________________________________________
Market Master(s) (if applicable):____________________________________________ _____________________________________________________________________ _____________________________________________________________________