Spencer Creek Growers Market Member Registration BASIC INFO Username * Email * First Name * Last Name * Password * Primary Phone * Membership Level * Free Level Membership Primary Address * Street AddressCityState / Province / RegionZip Code Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombi Comoros Congo (Brazzaville) Congo Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor (Timor Timur) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepa Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Country Profile Image DO YOU INTEND TO BE A VENDOR? * Yes No Vendor Details Compliance with our Rules & Regulations * Yes, I actually read the Rules and Regs!! Business Name * Make one up if you don't already have one Business Categories * Farmer Meat/Dairy Crafts Food Artisan Livestock Nursery Stock Cut Flowers Wine/Beer/Cider Food Retailer Non-Profit Service Check all that apply List all products you intend to sell FARMER Growers: All produce is grown on your own farm? * Yes N/A Egg Producers: Eggs are sold and labeled in compliance with Shell Eggs section of our Rules & Regs. * Yes N/A Home canning/preserving of homegrown product: You are in compliance with the Farm Direct Laws. * Yes N/A MEAT/DAIRY Dairy and Meat producers: You are in compliance with all ODA Licensing requirements and carry liability insurance. * Yes N/A CRAFTS Product Approval: I have received approval in writing (email is fine) after sending pictures of my products to a Board Member * Yes No Product Composition: Your product is original and produced yourself, it demonstrates quality workmanship and the main components have been conscientiously and ethically sourced, locally grown or are recycled. * Yes No FDA Compliance: Soap and body care products are produced and labeled in accordance with FDA regulations * Yes N/A FOOD ARTISAN Product Approval: I have received approval in writing (email is fine) after presenting a sample of my products to a Board Member * Yes No Local Ingredients: My products contain at least 25% by weight Lane County grown or 90% by weight Oregon grown ingredients * Yes No ODA Compliance: I use an ODA inspected kitchen or I am exempt under the Domestic Bakery Law or Domestic Kitchen Law * Yes No I carry liability insurance: Liability Insurance Certificate naming Spencer Creek Growers Market as additional insured on policy * Yes No NURSERY STOCK ODA Compliance: I comply with ODA Plant Nursery regulations * Yes No WINE/BEER/CIDER OLCC Permit: I have obtained a valid permit from the OLCC * Yes No FOOD RETAILER Retailer Approval: I retail locally produced products than do not compete with market vendors and have received Board Approval. * Yes No NON-PROFIT I have obtained permission from a Board Member to represent a non-profit entity of which I am a member * Yes No LIVESTOCK Goat kids and/or lambs are raised on my farm and have been tested by a veterinarian and proven to be free of contagious diseases * Yes No SERVICE I have obtained approval from a member of the Vendor Approval Committee to perform a service at the Market. * Yes No INTERESTS and BIO Select your Areas of Interest * Beekeeping Dairy production Alternative Energy Fermentation Gardening and food crops Healing Arts and Spiritual Explorations Healthful cooking and meal sharing Healthful movement (dance, walking, yoga, etc.) Hemp, Cannabis, CBD production Herbalism Kids' activities Making music Natural building Orchard and fruit production Public Policy Raising Livestock Regenerative Agriculture Tool and Equipment Sharing Volunteering at our Farmers' Market Woodlots, sustainable forestry and lumber Other Interest Areas: Please let us know if there is an area of interest that isn't on the above list or if you're interested in hosting a forum on a particular topic Short Bio: A brief description of your farm, business and/or yourself and why you want to join the market! SOCIAL / BUSINESS URLs Website: Provide a URL to your own website Facebook: Provide a URL to your FB page Instagram: Provide a URL to your Instagram page Verification Please enter any two digits with no spaces (Example: 12)* This box is for spam protection - please leave it blank:
