Farmers Market Space for Wellness Initiatives Farmers Market Application - Wellness 2024 Organization Name Contact Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Website Facebook (if applicable) Vehicle Make & Model(Required) License Plate #(Required) Information required by the State of Wisconsin Form S-240Wisconsin Seller's Permit Number15 digits beginning with 456-XXXXXXXXXX-XX Temporary event (Farmers Market) vendors must have a Wisconsin seller’s permit unless their sales are exempt from sales and use tax. (see exemptions below). Sellers may apply for a Wisconsin seller’s permit at tap.revenue.wi.gov/btr. Exemption CodeIf the vendor claims an exemption from collecting and remitting sales tax, enter the exemption code number. Exemptions are limited to the following four reasons: 1 - Exempt sales only or display only: Exempt sales refers to nontaxable sales (food and produce). Display only refers to a vendor advertising goods and services but not selling merchandise. 2 - Multi-level marketing company pays sales tax. 3 - Nonprofit occasional sales exemption: Sales by nonprofit organizations may qualify for exemption from Wisconsin sales and use tax. Refer to Fact Sheet 2106 or Publication 206, Sales Tax Exemption for Nonprofit Organizations, for more information. 4 - Occasional sales exemptions: A person is not required to hold a Wisconsin seller’s permit if the person’s taxable sales are less than $2,000 in a calendar year. Refer to Publication 228, Temporary Events, for more information. SSN - Last 4 digits only(Required) FEIN - Last 4 digits only Products, services and information that will be available at the booth.(Required)Wellness Booth Price: Quantity(Required)Choose one123Please provide one date for each market you are reserving space for(Required)For example, if you are reserving spots for 3 market days, enter the 3 dates that you prefer. Please note that these dates and your application must be approved by Farmers Market staff. Total I will pay using:Fees must be paid prior to the processing of your application. If the application is not approved the entire payment will be refunded. If any of the dates you request are not available, the applicable fees for those dates will be refunded. PayPal Check Please make checks out to: Sheboygan County Interfaith Organization Mail the check to: SCIO PO Box 73 Sheboygan, WI 53082WaiverThe undersigned agrees to become a participating vendor at the Sheboygan Farmers Market at Fountain Park on 8th Street, Sheboygan, WI for the term of specified days. By signing this contract I agree to the following terms and conditions: I, the Vendor, agree to indemnify and hold harmless Sheboygan County Interfaith Organization, its employees, volunteers and sponsors, from any and all causes of action which may arise from the operation of this Farmers Market, not caused by negligence of Sheboygan County Interfaith Organization, its employees, volunteers, and sponsors. I, the Vendor, release SCIO and the City of Sheboygan from any liability whatsoever for theft, damage, injury, litigation, prosecution, illegal sales, practices or loss of any kind associated with the Farmers Market. I, the Vendor, will not sell or hand out any items that are against the Farmers Market objectives or rules. I, the Vendor, understand that any violation of these rules can lead to me being asked to leave and forfeit any use of this space for the rest of the season. I, the Vendor, grant SCIO all rights, title and interest in any and all photographic images and/or video and/or audio recordings made by SCIO during the Farmers Market for any purpose whatsoever, commercial or otherwise, without compensation to me. I, the Vendor, grant SCIO permission to use any photos, videotape, etc. taken of me in any and all publicity and advertising promoting SCIO or the Market. By submitting this application, I acknowledge that the Rules & Regulations have been read and understood, and I will abide by the terms as presented. I agree to the Waiver.Consent(Required) I agree to the policies and waivers in the PDF.