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Certified Farmers Market Program
1220 N Street, Sacramento, CA 95814 • (916) 445-2180 FAX (916) 445-2427 •
cfm@cdfa.ca.gov
Step 1 - Applicant / Market Information
Applicant is:
Certified Producer(s)
Local Government Agency
Nonprofit Organization
Name of Applicant:
Mailing Address:
City:
ZIP:
Residence:
City:
ZIP:
Business Phone: (ex. 916-555-5555)
Residence Phone: (ex. 916-555-5555)
Fax Number: (ex. 916-555-5555)
Other Number: (ex. 916-555-5555)
E-Mail Address:
Market Name:
Mailing Address:
City:
ZIP:
Market Manager Name:
Business Phone: (ex. 916-555-5555)
Residence Phone: (ex. 916-555-5555)
Fax Number: (ex. 916-555-5555)
E-Mail Address:
Market Location:
City:
ZIP:
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