Complaint Form

STEVENS POINT FARMERS MARKET ALLIANCE

PORTAGE COUNTY, WISCONSIN

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Farmers Market Complaint Form

Person filing this complaint.
(Fill out and hand it to a board member at the market.)

Name_____________________________________________

Address___________________________________________

Phone Number______________________________________

Email _____________________________________________

Complaint if filed against the vendor listed below.

Please fill out as much information as you can.

Name of Farm or Vendor (required) _______________________________________________________

Address if known________________________________________________________________________

Phone Number if known___________________________________________________________________

Wick voucher number if known_____________________________________________________________

Farmers Market stall number if known________________________________________________________

Complaint_____________________________________________________________________________

_____________________________________________________________________________________

Evidence supporting complaint

_____________________________________________________________________________________

Signature of person filing complaint.

Signature______________________________________________Date______________________________

Thank You

Website Contact Information

Stevens Point Farmers Market Alliance , Care of Dan Mielke, 2550 County Road II, Rudolph, WI 54475

(Email: Daniel@DanielMielke.com Phone: 715-344-4104)

This website is paid for and published as public courtesy by Dan Mielke, Market manager and vendor.