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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:
Fresh Produce
Please describe what you will be selling:
Are your products certified organic?
Yes
No
Other than farmers markets, where do you sell your produce?
Wholesale market
Other markets
Direct to restaurants
Other:
Value Added Goods
Please describe what you will be selling:
Do you grow your ingredients yourself?
Yes
No
Other than farmers markets, where do you sell your produce?
Wholesale market
Other markets
Direct to restaurants
Other:
Hot/Cold Food for immediate consumption
Please describe what you will be selling:
Do you grow your ingredients yourself?
Yes
No
If not where do you source your ingredients:
Other than farmers markets, where do you sell your produce?
Wholesale market
Other markets
Direct to restaurants
Other:
ATTENDANCE
When would you like to attend weekly or specific weeks of the month?
Weekly
First Sunday
Second Sunday
Third Sunday
Fourth Sunday
Other
Details:
What date would you like to commence attendance (DD/MM/YYYY)?
SETUP
Will you require a normal sized site?
Yes
No
If not please state reason:
Will you need to hire a stall?
Yes
No
Do you require parking directly behind the stall?
Yes
No
Do you need the engine on during the market?
Yes
No
Do you require a mobile cool-room or trailer?
Yes
No
Do you require access to power?
Yes
No
What amps and voltage are required?
ADDITIONAL DETAILS
Comments:
Referer Details
This field not required Referer Name:
Reason:
STATEMENT
I comply with the
principles of the Mulgrave Farmers Market
and I will keep a copy of the email receipt of my application as a record of my acceptance of these conditions.
