Goldtower Markets
Poppet Head Plaza
Date
*
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Day
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Month
Year
Date
Stall Holder Details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Stall Details
Business Name
*
Stall Type
*
Please Select
Arts & Crafts
Baked Goods
Hot Food
Fresh Produce
Clothing & Jewellery
Pet Products
Other
Do you require a single or double site
*
Please Select
$20 - Single Site
$40 - Double Site
Additional Stall & Product Details
Would you like to become a permanent stall holder at the Poppet Head Markets for the year?
*
Yes
No
Stall Requirements
Type of Vehicle you will bring on site
*
Vehicle Registration
*
Will you be bringing a trailer on site?
*
Please Select
Yes
No
Does your Stall require access to power?
*
Yes
No
What kind of power do you require?
Public Liability and Insurance Upload
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of
Public Liability Insurance Expiry Date
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-
Day
Year
Date
Food Handling Certificate
*
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Food Handing Certificate Expiry Date
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-
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Date
Please read the Head rules carefully before ticking below.
Date
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Date
The tick indicates your understanding and agreement to abide by all rules outlined herein.
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