2019 Market Information This form provides your 2019 market season information, needed for your market's Public Market Profile. Please fill it out in its entirely, including contact information. You will be able to select information that will be seen by the public or only by WVFMA/WVFFC staff. If you have more than one market location on a regular basis, please complete this form for each, so each location is properly depicted in the market locator. 1 WVFMA Memberhip2 Market Information3 Contact Information4 Social Media Are you a member of the West Virginia Farmers Market Association for 2019?*YesNoI don't know Save and Continue Later About Your MarketMultiple Market Locations*Do you have more than one market location EVERY week? (Not including special events). If so, you will need to complete the entire form for EACH location. Thank you!YesNoMarket Name*Market Mission or Description*Which months do you operate?*When are you open?*Market Location Address*Please provide the physical address for the location of your market. Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Do you or any of your vendors accept SNAP?*YesNoDouble BucksDo you double SNAP benefits at your market?YesNoDo you or any of your vendors accept WIC?*YesNoDo you or any of your vendors accept Senior Vouchers?*YesNoIs your market wheelchair accessible?*YesNoParking Information Save and Continue Later Contact InformationPrimary Contact* First Last Display Primary Contact Name on Public Location Profile?*YesNoMarket Role*Primary Contact Phone Number*Display Primary Contact Phone Number on Public Location Profile?*YesNoPrimary Contact Email* Enter Email Confirm Email Display Primary Contact Email on Public Location Profile?*YesNoSecondary Contact**Required for WVFMA administration purposes. Will not be listed on website. First Last Secondary Contact Phone Number*Secondary Contact Email Address* Enter Email Confirm Email Save and Continue Later Web and SocialDoes your market have a logo?*YesNoLogo File Thumbnail for Web UsePlease upload a high-quality thumbnail image, no larger than 300 pixels in either width or height.Accepted file types: jpg, png, .Logo File - Source fileIf available, please upload a high-quality editable file to be considered for use in print design. File should be a high resolution .png with a transparent background or a vector graphic (.ai or .pdf).Accepted file types: ai, png, pdf, psd.Social MediaPlease select which social media platforms your market currently uses Facebook Instagram Twitter Website FacebookPlease enter your market's Facebook URL. InstagramPlease enter your market's Instagram URL. TwitterPlease enter your market's Twitter URL. WebsitePlease enter your market's website URL. Do you have an SMS (text messaging) Marketing service?Select YES only if you have an SMS marketing service already set up. If you do not, an option to sign up for one (FarmFan) will be available on your Marketing Materials Order Form.YesNoSMS NumberPlease provide the number that customers will send your keyword to when joining your list.SMS KeywordPlease input the unique keyword for your market.Additional comments or informationPlease use this area to provide relevant and essential information not gathered by this form.CommentsThis field is for validation purposes and should be left unchanged. Save and Continue Later Market Listings are available to all Farmers Markets in West Virginia.