Southern Miss Farmer's Market

Office of Sustainability

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * - ### - ### ####
Email *
Checkboxes *
Vegetables Fruits Jam/Jelly Nursery/Stock/Seedlings Soap/Oils/Lotions Prepared Foods Wood Products Baked Goods Crafts Art Honey/Syrup Textiles Dairy Other
If you checked "other" above, please list those items here:
Please specify each product you plan to sell for each category marked above. Category/Product. (Ex: Vegetables/Radishes) *
By my signature on this form, I hereby consent to all the terms of this certification* and agree to abide by all rules, regulations, and policies of the State of Mississippi, the Mississippi Department of Agriculture and Commerce, and the University of Southern Mississippi Farmers Market. Market staff or designated representative may visit any approved producer's facilities to ensure compliance with applications and market regulations. Non-compliance issues will be reported in writing by the Market Manager. Section 27-65-103(b), Mississippi Code of 1972, provides an exemption from sales tax for sales of food products that are grown, made or processed in Mississippi and sold from Farmers' Markets that have been certified by the Mississippi Department of Agriculture and Commerce. All non-food items should be subject to sales tax. However, the USM Farmers Market does not collect or file these taxes for you. All participants, upon submitting an application, also thereby approve the USM Hattiesburg Farmers Market Rules, contained in the "Rules and Guidelines" document.
Agree DisAgree
Electronic Signature *