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
Are you a registered Australian Charities and not for profit organisation?

YesNo
1. What type of stallholder would you like to register as? Please note that permanent stallholders are NOT expected to come every week. See Terms and Conditions for a full definition.

PermanentCasual
2. Please indicate when you would like to have a stall at the Emerald Bank Market (check all that apply):

First Sunday of the monthThird Sunday of the monthCasual
If casual, please indicate which specific dates you would like to come to the market

3. What stall type would you like to apply for? (Permanent stallholders receive a 10% discount on top of these prices)

Undercover Single (3mx6m) $40Undercover Double (6mx6m) $70Food Court (5mx5m) $45Front A (3mx3m) $35Front A Double (6mx3m) $50Mini (1.8m x 1.8m) $20
4. Does your site require power?

Yes ($10 extra)No
5. Do you require your vehicle to be parked behind your stall? (limited spaces available)

YesNo
6. Do you have a particular Site Number/s you would like to apply for? (Subject to availability)

Yes (Please Specify below)No
Site number
7. How long does it take you to set up your stall?

Less than 30 minutes30 minutes to 60 minutesMore than 60 minutes
10. Do you give permission for Emerald Bank Market to share you social media posts?

YesNoNA
11. Do you give permission for Emerald Bank Market to take photos of you/your stall on market days, and post them to social media?

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.
Covid-19 Vaccination Status*

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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