Supplier Application

If you are interested in becoming a supplier of goods at Grassroots Local Market, please fill out the form below and provide a detailed description of your product(s).

We currently are looking for Farmers/Growers. We do not currently have any available spaces for Arts/Crafts vendors but you may submit an application to be kept on file once space becomes available.

Submitting this application does not guarantee you will be chosen as a supplier for Grassroots. If you application is selected, someone on our team will contact you directly. Thank you for your interest in becoming a supplier for Grassroots. 

Contact Name *
Contact Name
Business Address *
Business Address
Phone *
Preferred method of contact *
Facebook: Instagram: Other:
Are you a current Grassroots Local Market Member-Owner? *
I am a (select all that apply) *
Payment Forms *
Preferred Payment Terms *
Are you currently providing products to an active Farmers' Market or store? *
Contact Name: Business: Phone Number: Email:
Contact Name: Business: Phone Number: Email:
Do you know any GLM Employees? *
Please provide any additional information or comments you wish to share with Grassroots Local Market in the field below.
I hereby certify that the information provided in this Supplier Application is true and complete, and I understand that false information or significant omissions may disqualify me from consideration. I authorize Grassroots Local Market (GLM) to check listed references as needed and I hold GLM harmless from any results or conclusions.