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2. Business Name for License*
4. Name of Ownership*
6. Physical Address*
8. City*
9. State*
10. Zip Code*
12. Mailing Address*
14. City*
15. State*
16. Zip Code*
18. Email Address*
20. Phone Number*
21. Fax Number*
23. Federal Employer Identification Number (FEIN)
24. Colorado State Sales Tax Number
26. Description of Business Services
28. State Standard Retail License

    If you can provide your State Standard Retail License number there is no charge for the Farmers Market Vender License. However, an application must be completed and a Fraser License will be issued.

30. State Standard Retail License Number
32. Payment of $20 can be made in person, check or cash, at Fraser Town Hall or over the phone credit/debit/check card or echeck/electronic funds transfer.

34. If you have a current Fraser Business License a Farmer's Market Venders License is not required.

36. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
38. Electronic Signature
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field