Winter Market Application

Printable Application Form

NWPA Growers Winter Market Application Form

Please be sure that you have read the ‘Winter Market Information’ page before submitting your application. After you are familiar with key information ,such as time, date, and location of pickup, please fill out all required information and mail the completed form with a check for $15.00 (made out to ‘NWPA Growers) to:

Pat Nelson (NWPAGC Treasurer)

219 Kelly Rd.

Slippery Rock, PA. 16057

Upon receipt of your application and check, your name will be added to the membership list and you will receive a Welcome to Winter Market email containing further information concerning participation in the Winter Market.

“I have read the Winter Market Information page. I understand that I am responsible for picking up and paying for my order at the designated time and location. If I do not pick up my order I understand that it is my responsibility to contact the Winter Market Manager to make arrangements to claim my order, and that I will be held responsible for payment.

Please complete the following; we must have all info to add you to the database.

Name ________________________________________________________

Address ____________________________________

_____________________________________

Phone # ____________________________________

and a phone # where you can be reached on Wed. afternoons______________________

Email address ___________________________________

Thank You!