Name of Business and Farm/Production Address text
Principle Producer’s Full Name/s
Home address (if different)
Post Code
Telephone
Mobile Tel No
How long have you been in this business?
Acreage of holding? (if applicable)
Are you an Organic Food Producer?
If “YES” give certification body and number
General type of product/s to be sold (Fruit / vegetables, meat etc)
How many paid employees or family members work for you?
Are all your products produced at this location? (If NO please give details)
Details
Will product availability change during the year? (If so, please indicate on the chart below)
Please give details of existing sales outlets
What raw materials do you buy in?
Please list any products you buy in for resale that require no further processing below
Are all your premises registered with your local Environmental Health Department? Details if ‘NO’
If food/drink is prepared at a different location from that listed above please give details.
Do you and those handling your products have Food Hygiene Certificates
Do you have public and product liability
Will the principal producer work on the stall?
Would you require extra services? (Electricity, fridge, freezer, hot plate etc)
On what basis would you attend?
Please list all of the products that you intend to sell during the coming year, using descriptions such as “smoked rabbit", "pork sausages", "red cabbage", "cherry tomatoes", "goats' cheese", "goats' soft cheese with herbs”.
January
February
March
April
May
June
July
August
September
October
November
December
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