STALLHOLDER APPLICATION FORM

Stallholder Details

This field not required Stallholder Name:
Country:

CONTACT DETAILS

Business Name:
ABN:
Stallholder First Name:
Stallholder Last Name:
Contact no. (w):
Contact no. (m):
Email:
Fax:
Street Address:
Suburb/Town:
Postcode:

TYPE OF GOODS

Will you be providing:

ATTENDANCE

When would you like to attend weekly or specific weeks of the month?





 
Details:


What date would you like to commence attendance (DD/MM/YYYY)?


SETUP

Will you require a normal sized site?

If not please state reason:
 
Will you need to hire a stall?

Do you require parking directly behind the stall?

Do you need the engine on during the market?

Do you require a mobile cool-room or trailer?

Do you require access to power?

What amps and voltage are required?
 

ADDITIONAL DETAILS

Comments:

Referer Details

This field not required Referer Name:
Reason:

STATEMENT