Farmers Market Community Vendor Donation Name(Required) First Last Company Name or DBAEmail(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Community Space Donation(Required) Enter the amount of donation you would like to make. The suggested amount is $25.Payment will be completed using(Required) PayPal Check sent by mail Please make checks out to: Sheboygan County Interfaith Organization To complete your payment, please mail the check to: SCIO Attn: Farmers Market PO Box 73 Sheboygan, WI 53082Total