Coastside Local Hub Producer Intake Form 

The following is an intake form to express interest in selling to the Coastside Local Food Hub. The form should take around 10 minutes to fill out. The responses you provide will help the Hub team assess the potential for collaboration and onboard your business as vendor. Once you submit the form, the Hub team will follow up with a phone call. 

General Information

Name 

Email

Phone (best number to contact)

Business Address

Business Name 

Number of years in business

Number of acres in production

Roughly how many total pounds or units of product do you sell a year?

What is your preferred language

Does your business identify as one or more of the following (select all that apply)

BIPOC owned/ledWoman owned/ledLGBTQ+ owned/ledVeteran owned/led

Briefly, please tell us about your business. (1-2 paragraphs). Content may be used in the future for marketing and communications material.

Certifications

Are you certified organic? 

Please select... Yes No

Do you have one of the following third party food safety certifications?

GAPHarmonized GAPGAP+None of the above

Do you have a food safety plan?

YesNo

Please list any other certifications/practices: 

Animal Welfare ApprovedAntibiotic freeCertified HumaneCertified Naturally GrownFood Safety CertifiedFree range/pasture raisedGrass fedHormone-freeNon-certified, but practicing organicOther (specify)

Other certification/practices

Logistics

Are you able to deliver your products to Brisa Ranch (3100 Cabrillo Hwy)?

YesNo

Do some or all of your products need to be cold stored?

AllSomeNone

Which days of the week are you able to deliver your products to Brisa Ranch in Pescadero?

MondayTuesdayWednsdayThursdayFridaySaturdaySunday

Sales

Do you need guidance on pricing for wholesale, direct-to-business, or institutional buyers?

YesNo

Does your business have liability insurance (minimum $1 million)?

YesNo

Can you please describe how you currently communicate with buyers and share crop availability? Please share how you communicate (email or phone; sharing crop lists manually, excel, other platform) and frequency (weekly, monthly, etc).

How are you currently invoicing your customers? Do you use an online platform, paper, email, combination or other?

Do you need assistance with invoicing?

YesNo

Do you have your own product labels?

YesNo

Please upload a photo of your label 

Products

What crops would you be interested in selling to the hub in the next 1 - 3 months? Please estimate about how many cases or pallets you could sell per week. 

Are there crops you would like to sell or like to grow more of, but you need to find a market for it? Please describe.

Are you interested in being provided guidance on which crops to grow that are in demand by Hub customers? 

Do you have any additional information you would like to share?

Do you have any questions?

Thank you for completing the intake form. Please press the submit button below. A member of the Hub team will contact you for follow up.