EmailMe Form - SCFF Farmer/Producer Membership Application

Name
First Last
Farm/Business Name
Address - please note this information may be published on our website and the Local Food Map

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Please provide detailed verbal directions to your farm. (i.e. 1 km north of Hwy. 400 on Hwy 93)
Phone
### - ### - ####
Email - this information will be published on our website and Local Food Map
Alternate email - for internal use only
Web Site
Facebook Page
Twitter Handle
Instagram
Product List for printed map and website listings: List food/beverage products (for human consumption).
Simcoe County Farm Fresh reserves the right to edit submissions and choose what information will be published.
Simcoe County Farm Fresh is not responsible for any errors or omissions.
Type of Operation (check all that apply)
Pick Your Own
Farm Gate
On-Farm Market
Community Shared Agriculture
Phone/Internet Sales
Wholesale (I sell to the retail, restaurant/food service market)
Farmers' Market Sales
Other
Please indicate which Farmers' Markets you participate in
Other - please indicate
Please indicate (check all that apply)
Wheelchair Accessible
Able to accept bus tours
Public Washrooms
Call ahead only
Hours of Operation (including Months, Days and Time)
Sunday Sales
Yes
No
Please write a one sentence tag line for the website listing. This can be used to highlight a special event or product. (i.e. “freezer beef is our specialty” or “Join us for our annual Blueberry Festival!”)
Special events (if you would like your special event for 2016 mentioned in the “Upcoming Events” section on the www.simcoecountyfarmfresh.ca website please indicate what, where, and when.

Questions to determine qualifications of Farm/Producer Group Please note: If located outside of the County, acceptance of membership will be at the discretion of the Board of Directors. Members are encouraged to source from other members of the association where possible. *

	Yes	No
Are you engaged in the business of farming & food production, produced within Simcoe County? Note: For the purposes of membership, farming shall be defined as raising crops or livestock for food products for human consumption
Does a majority of your sales come from product originating from your farm operation? Members in this category must be able to produce evidence that they are meeting the qualifying criteria, if requested, by the association
Will you be an active and engaged member of Simcoe County Farm Fresh Marketing Assoc.?
Will you act as a champion of local food/beverage in your community?

Membership Fees
Farmer/Producer Membership - $195.00 + HST = 220.00
Additional Listing - $100.00 each + HST = 113.00
Please indicate if you DO NOT want to be included in the 2016 printed version of the Local Food Guide Map
No, I do not wish to be included in the printed version of the Local Food Guide Map
Please indicate Method of Payment - Note: Payment MUST be received by March 1, 2016 in order to receive a listing in the 2016 Local Food Guide Map (printed version) Please note, if you select Credit Card, you will be emailed an invoice that you can pay directly from.
Visa
Mastercard
E-transfer - send to scfarmfresh@gmail.com
Cheque - make payable to Simcoe County Farm Fresh
I (please print your name)
certify and accept responsibility for ensuring the above information is correct and will be adhered to. I agree to the minimum standards / code of ethics and responsibilities as stated. I also give permission for my personal information listed above to be used for the purpose of publishing a directory of Simcoe County Farm Fresh members.
This Simcoe County Farm Fresh Membership is valid between March 1, 2016 & February 28, 2017. Membership eligibility, criteria, fees and benefits will be reviewed and may be modified annually. (Please sign below - type your name if you do not have an electronic signature)

EMF Contact Form

Report Abuse