The Local Farmers Market Cockburn

The Local Farmers Market Cockburn

Every Saturday | 8am until 12noon | Nicholson Reserve, YANGEBUP
Name

First NameLast Name
Email
example@example.com
Trading Name
ABN or TFN
If Applicable
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Dates Available (We are weekly from July)

WeeklyFortnightlyMonthlyOther To Be Discussed
Stall Type
If Food Truck/Trailer trading window facing.
Trading Window
List products or services you offer.
As detailed as possible please.
Upload a photo of you're stall setup (if you have one)

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Upload A Copy of Your Menu (Food Business's only)

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Food Business Only, Select What Dietary Menu You Cater For:

Gluten FreeDairy FreeWheat FreeEgg FreeNut FreeVeganVegetarianHalal
Your Social Media Pages
Web Site Link, Facebook or Instagram Link _This will help us to revue you're application.
PL Insurance Details
Please list any other Markets you may attend.....
Insurance Company
Public Liability Insurance Policy

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Policy Number
Expiry Date

MonthDayYear
Date
Health & Safety (Home Registration and City of Cockburn trading permits)

Food business registration (if applicable)
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Do you have a current City of Cockburn Food Permit?
Please See Below The City of Cockburn Food Trading Permit Application Form:

City of Cockburn Food Trading Permit
Notes: (Also list what Markets/Events of ours you are interested in. These can be found on our website under 'other events tab')
Additional information or requests
First Available Date

MonthDayYear
Date
Do you reside or have a business based within the City Of Cockburn?
Please ensure you check your Spam/Junk Folder as our replies can sometimes go to those folders instead of your Inbox. Thankyou
Should be Empty:

The Local Farmers Market Cockburn

PL Insurance Details