Participant Form Jack London Square Farmers MarketBusiness Name First Point of Contact First Email PhoneWhere can we view your photos?InstagramFacebookEnter IG Handle Enter Facebook Address Company Website Vendor CategorySelect OneCertified Producers/Farmers/Rancher/FisherRetail Sales/Business Info/Pre-Packaged FoodNon-ProfitRetail Sales, Business Info, Pre-Packaged FoodBooth Size10 x 10 - $85 (1 day)10 x 10 - $170 (2 days)10 x 10 - $255 (3 days)10 x 10 - $340 (4 days)On which day would you like to participate?Select First DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29On which day would you like to participate?Select Second DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29On which day would you like to participate?Select Third DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 30Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29On which day would you like to participate?Select Fourth DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29Certified Producers/Farmers/Rancher/FisherBooth Size10 x 10 - $75 (1 day)10 x 10 - $150 (2 days)10 x 10 - $225 (3 days)10 x 10 - $300 (4 days)On which day(s) would you like to participate?Select First DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29On which day would you like to participate?Select Second DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29On which day would you like to participate?Select Third DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29On which day would you like to participate?Select Fourth DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29Non-ProfitBooth Size10 x 10 - $65 (1 day)10 x 10 - $130 (2 days)10 x 10 - $195 (3 days)10 x 10 - $260 (4 days)On which day(s) would you like to participate?Select First DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29On which day(s) would you like to participate?Select Second DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29On which day(s) would you like to participate?Select Third DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29On which day(s) would you like to participate?Select Fourth DayApr 7Apr 14Apr 21Apr 28May 5May 12May 19May 26June 2June 9June 16June 23June 30July 7July 14July 21July 28Aug 4Aug 11Aug 18Aug 25Sept 1Sept 8Sept 15Sept 22Sept 29Oct 6Oct 13Oct 20Oct 27Nov 3Nov 10Nov 17Nov 24Dec 1Dec 8Dec 15Dec 22Dec 29Total $ 0.00 HiddenRetail Sales, Business Info, Pre-Packaged FoodPlease specify what you wish to offerPlease briefly describe your products/services...Upload Sellers Permit Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, Max. file size: 10 MB. Need Sellers Permit? Get your seller permit FREE from 1515 Clay St, Oakland, CA, or call 510-622-4100 HiddenCertified Producers/Farmers/Rancher/FisherItems OfferedUpload Certified Producer Certificate Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, Max. file size: 10 MB. Upload Alameda County Environmental Health Department Permit Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, Max. file size: 10 MB. Need Food Vendor Permit? Click Here to Download ApplicationHiddenNon-ProfitType of Service / Information OfferedProof of non-profit status Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, Max. file size: 10 MB. Payment/BillingTotal $ 0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name