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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
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