Emerald Bank Market

Emerald Bank Market

Stallholder Application Form
Please ensure you read the terms and conditions document before signing this application
Business/Stall Name
Contact Name
Please list ALL items you wish to sell at this market
Address
ABN
If applicable
Phone
Email
example@example.com
YesNo
PermanentCasual
First Sunday of the monthThird Sunday of the monthCasual
If casual, please indicate which specific dates you would like to come to the market

Undercover Single (3mx6m) $40Undercover Double (6mx6m) $70Food Court (5mx5m) $45Front A (3mx3m) $35Front A Double (6mx3m) $50Mini (1.8m x 1.8m) $20
Yes ($10 extra)No
YesNo
Yes (Please Specify below)No
Site number
Less than 30 minutes30 minutes to 60 minutesMore than 60 minutes
YesNoNA
YesNoNA
The acting Victorian Chief Health Officer has issued Mandatory Vaccination Directions which apply to Retail Workers and Contractors, effective 14th October 2021. DHHS advise this applies to market volunteers, stallholders and employees.
Fully VaccinatedMedically Exempt
Proof of Covid-19 Vaccination Status

If you're unable to upload a copy of your vaccination status you may show it on market day
Cancelof
As per the terms and conditions, you understand that not all applicants are accepted into the Emerald Bank Market. We do not allow more than 2 people to sell the exact same product on the same day. For that reason, you are not guaranteed to have a stall on the days you have applied for. Once your application has been submitted, we will contact you to discuss the outcome.

I/we declare that all information provided in this application is true and correct. I/we have read the Emerald Bank Terms and Conditions prior to filling in this document. I/we agree to inform the Market Coordinator if any of the above information changes
Print name
Sign

Clear
Date

MonthDayYear
Date
Public Liability Insurance/ Streatrader

Cancelof
Please upload a copy of your public liability insurance and streatrader (if applicable) or email to emeraldbankmarket@gmail.com
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