KootenaiCountyFarmersMarket.com WEB PAGE REQUEST
VENDOR
INFORMATION
Corner of Prairie Ave & Hwy 95 in Hayden, Idaho
Contact Info:
March - October: (208)772-2290 October - March: (208)772-7156
By Mail: KCFM, P.O. Box 781, Hayden, ID 83835 Email:
manager@kootenaicountyfarmersmarket.com
Owner/Contact: _____________________________________________
Location: _____________________________________________
Contact Info: _____________________________________________
Prod. Descrip: ______________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Photo: Yes ___ No ___ Space # _______
Vendor Signature: ___________________________ Date: ________