Market Stall Registration Form

Market Stall Holder Application

If you would like to have a Market Stall at the Coleraine Pedal Car GP, please complete this request. Market Stall requests must be completed at least seven (7) days prior to the event. Stalls are $10.
Name*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
E-mail*
What will you be selling on your stall?*
Will you be serving food?*
Please NOTE that you will be responsible for obtaining any necessary food handling/registrations from Southern Grampians Shire Council.
Payment Details

*To book your market stall payment must be made and make sure you use your Name as the reference.
Payment to:
TAPCGPC Inc
BSB 633 000
Account No 163022999
Should be Empty:

Market Stall Holder Application