Market Qualification Form

The Adirondacks, USA Market is an online platform supporting locally rooted businesses that contribute to the Adirondack regional economy by increasing year-round visibility beyond seasonal foot traffic.

This marketplace is for new products only.

Please note:

Alcohol, tobacco, marijuana/THC products, and products featuring inappropriate language are not permitted.
Service-based offerings, event tickets, gift cards, and products requiring in-person pickup are not currently supported.

This application determines your eligibility for participation as an Adirondacks, USA Market featured business.

Part 1: Business Basics

Shop name

Primary contact name

Contact email

Contact phone

Website

Business address

Address Line 1

Address Line 2

City/Town

State

ZIP/Postal Code

Business tax filing address (If different from Business address)

Address Line 1

Address Line 2

City/Town

State

ZIP/Postal Code

Where do you primarily operate from?

Part 2: Eligibility

Q1. The following must apply for your business to be eligible - please check here to confirm these are true:

Order fulfillment operations occur (or will occur if this will be your online store) solely within one of New York’s Essex County, Hamilton County, Saranac Lake or Tupper Lake regions

This is true

This is not true

Q2. Which of the following best describes your Adirondack operational presence? (Select at least ONE)

We maintain a brick-and-mortar storefront in one of New York’s Essex County, Hamilton County, Saranac Lake or Tupper Lake regions

We operate a seasonal storefront, pop-up, or market in one of New York’s Essex County, Hamilton County, Saranac Lake or Tupper Lake regions

We operate solely online and do not have an in-person presence

None of the above (please explain)

Storefront address

Address Line 1

Address Line 2

City/Town

State

ZIP/Postal Code

Storefront hours

Please explain

Q3. Do you independently own or control ALL of the following?

your product and/or service listings
your branding and pricing
your customer relationships and fulfillment

Yes, we control all of the above

Q4. Are you primarily a reseller/distributor of third-party or national brands?

Yes (please explain)

Please explain

Q5. Which categories best describe the products you sell?

Gifts

Food

Wellness

Apparel

Art

Home Goods

Outdoor

Kids

Other

Other categories

Q6. In 2–4 sentences, how do your products align with the Adirondack regional experience/audience?

Q7. Where are your products made/manufactured?

Adirondack region

Elsewhere in USA

International

Q8: Please confirm

I certify that the information provided is accurate.

I understand my online presence on the Adirondacks, USA Market is dependent on continuously meeting participation guidelines

I understand approved businesses may list up to four (4) products per category.

I understand ROOST shall retain a commission of 6.85% on each transaction completed through the Marketplace for administrative costs.

I understand this market is for new items only that are free from alcohol, tobacco, marijuana/THC and inappropriate language.

Signature (typed name)

Date

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