Market Membership Application Download the 2022 AFMA Market Member Application-Renewal Form Membership Valid Until February 28, 2023Username*This is necessary for you to have access to the Members Only section of the AFMA website. Password* Enter Password Confirm Password Strength indicator Name* First Last Display Info For AFMA WebsiteMarket Name Market Location Market Phone NumberMarket Email Address Enter Email Confirm Email Market Website or Facebook Page URL Facebook Page URL Online Ordering Website URL What is Your First and Last Market Day of the Year? What Days and Hours Does Your Market Operate?Example: Wednesday-Friday 10:00am-8:00pm Saturday-Sunday 10:00am-1:00pmAny Additional Information including special markets or seasonal locations? (If you have a seasonal change of location and hours, please indicate in box below)Will your market be hosting a Market Buds Program (or any other children's programing)?* Yes No Images for your listing on the AFMA WebsiteYou can upload a maximum of 4 images Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 5 MB, Max. files: 4. Local Food WeekWill your market be participating in Local Food Week (August 7 - 14, 2022)? Yes No Event ListTo add more than one (1) event click the plus (+) sign icon. To remove an event click the minus (-) sign icon.Type of EventDateTime For Office Use OnlyAre You a New Member of AFMA? Yes No Do You Know Your AFMA Membership Number? Market Manager Contact Name* Market Manager Contact Number:*Market Manager Email* Enter Email Confirm Email Shipping Address ( NO PO Boxes please!)*Where can we send any promotional items? Couriers will not deliver to a post office box. This MUST be a street address. Address City/Town AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Mailing Address (PO Box or House) Address City/Town AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Do you have a sponsoring organization?* Yes No What is their name? In order for us to better organize these meet ups in order to meet the needs of all our members, please let us know when a good time would be for you to meet. Are you a full or part time Market Manager? Full Time Part Time Method Of Payment Your membership fees are payable online with Visa or Mastercard Please note your membership is not valid until we have received payment.INDICATE NUMBER OF VENDORS TO DETERMINE ASSOCIATION FEES* 10-25 vendors 26-50 vendors 51-75 vendors 76-100 vendors more than 100 vendors Total $ 0.00 CAD Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Are you a human?