Name of Owners / Personal representatives who will usually operate the stall *

First Name

Last Name

Phone *

(###)

###

####

Address from which the business operates *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How often do you plan on attending the market? *

Monthly

Seasonally

Occassionally

Stall Size *

3x3m

6x3m

Power Required? *

Yes

No

Do you have your own Public Liability & (where applicable) Product Liability Insurance? *

If you tick Yes, you will be contacted once your application is approved to provide a copy of your Certificate of Currency. If you tick No, you will be required to pay an additional $10 fee per market for insurance. Exclusions apply.

Yes

No

I have read, understood & agree to abide by the Market Rules & Charter *

Yes

No