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ANIMAL WELFARE APPROVED PRODUCT VENDOR INFORMATION Consumers want to buy your products! Please let us know where they are sold so we can let consumers know how to find you. Your farm’s name: __________________________________________________________________ Your name: ____________________________________________________________________ ____ Animal Welfare Approved Species: _____________________________________________________ *Required Fields 1) *Vendor Name: _______________________________ _______________________________ ____________ Address: _______________________________ _______________________________ ____________ _______________________________ ______ *City, State, Zip: _______________________________ _______________________________ ____________ Phone: _______________________________ Website: _____________________________ Email:_________________________ _______ Product (e.g. beef, cheese, etc.): __________ _______________________________ ______ *Type of outlet: On Farm Store Food Co-op Restaurant Farmer’s Market Online shopping CSA 2) *Vendor Name: _______________________________ MF1v1 - Vendor Form 062110

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ANIMAL WELFARE APPROVED PRODUCT VENDOR INFORMATION

Consumers want to buy your products!

Please let us know where they are sold so we can let consumers know how to find you.

Your farm’s name: __________________________________________________________________

Your name: ________________________________________________________________________

Animal Welfare Approved Species: _____________________________________________________

*Required Fields

1) *Vendor Name: __________________________________________________________________________

Address: _______________________________________________________________________________________________________________

*City, State, Zip: __________________________________________________________________________

Phone: _______________________________

Website: _____________________________

Email:________________________________

Product (e.g. beef, cheese, etc.): _______________________________________________*Type of outlet:

On Farm Store Food Co-op Restaurant Farmer’s Market Online shopping CSA

2) *Vendor Name: __________________________________________________________________________

Address: _______________________________________________________________________________________________________________

*City, State, Zip: __________________________________________________________________________

Phone: _______________________________

Website: _____________________________

Email:________________________________

Product (e.g. beef, cheese, etc.): _______________________________________________*Type of outlet:

On Farm Store Food Co-op Restaurant Farmer’s Market Online shopping CSA

MF1v1 - Vendor Form 062110

Page 2: a · Web viewANIMAL WELFARE APPROVED PRODUCT VENDOR INFORMATION Consumers want to buy your products! Please let us know where they are sold so we can let consumers know how to find

3) *Vendor Name: __________________________________________________________________________

Address: _______________________________________________________________________________________________________________

*City, State, Zip: __________________________________________________________________________

Phone: _______________________________

Website: _____________________________

Email:________________________________

Product (e.g. beef, cheese, etc.): _______________________________________________*Type of outlet:

On Farm Store Food Co-op Restaurant Farmer’s Market Online shopping CSA

4) *Vendor Name: __________________________________________________________________________

Address: _______________________________________________________________________________________________________________

*City, State, Zip: __________________________________________________________________________

Phone: _______________________________

Website: _____________________________

Email:________________________________

Product (e.g. beef, cheese, etc.): _______________________________________________*Type of outlet:

On Farm Store Food Co-op Restaurant Farmer’s Market Online shopping CSA

Comments:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

~please make extra copies as necessary~

Return by mail to: AWA, PO Box 6, Marion, VA 24354or by email to [email protected] or fax to 202-446-2151

This form also available online at www.AnimalWelfareApproved.us/Farmers/Vendor

MF1v1 - Vendor Form 062110

mailto:[email protected]

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