Fish / Shellfish GRP Farmers Market Application

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Contact *

First Name

Last Name

Primary Contact - Preferred Phone

(###)

###

####

Secondary Contact

First Name

Last Name

Secondary Contact - Preferred Phone

(###)

###

####

Source

Farmed

Wild Catch

Fish / Seafood Listing

Salt Water Fish

Fresh Water Fish

Aqua Culture Fish

Smoked Fish and Seafood

Crab

Scallops

Clam

Oyster

Mussels

Other

Availability

Fresh

Frozen

Both

Licenses, Registrations, Permits *

Food Production Oversight Please provide a listing of any and all registrations and permits you hold to meet county, state and federal guidelines for food sales. Select ALL that Apply PDA = Pennsylvania Department of Agriculture CCHD = Chester County Health Department

CCHD Retail Food Outlet License

CCHD Mobile Food Facility Pre-Package Only

CCHD Letter of Exemption

PDA Food Establishment Registration

PDA Limited Food Establishment Registration

PDA Retail Food Facility

I hold none of the above

GRP Farmers Markets *

Which GRP Farmers Markets would you like to attend? (The market schedule listed below begins in May when our "season opens." Please contact us for information on winter market schedules.) 

Eagleview Farmers Market at Town Center: Thursday 3 PM - 6:30 PM

Downingtown: Saturday 9 AM - 1 PM

Malvern: Saturday 9 AM - 1 PM

West Reading: Sunday 9 AM - 1 PM

Accepted Payment

Do you accept any of the following:

Credit Cards

Debit Cards

EBT