Casual Leasing Application - Dalby Shoppingworld

Casual Lease Application

Please read carefully as this is an important document. You may want to seek independant advice before you sign.

Please note: Submitting this application form does not constitute a lease agreement. Confirmation of your lease, if approved, will be provided by Centre Management within two business days of receiving your application. All applications are subject to availability.
Applicant Details

Please notify staff on your arrival if you do not want yourself or children to be photographed.
Business Name*
Contact Person Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
ABN
## ### ### ###
Email Address*
Postal Address*
Description of Products / Services*

Fashion / AccessoriesHealth / BeautyGiftware / HomewaresServicesFundraiserFood (Must be pre-approved by Management)Other
Description of Display*
E.g. Pull up banner and small table
Please list your business website or social media profiles
Is the above business a registered Not-For-Profit Fundraiser?*

NoYes
Casual Leasing Site Map
Casual Leasing Options

Select Your Site or Static Display by checking the box. Use the drop down menu on your selected options to choose duration of days or weeks - All prices include GST. Your total will be calculated at the bottom of this section. *Please choose carefully as a $50.00 Administration fee will be applied to all bookings requesting changes after confirmation. **Seasonal surcharge of 50% applies to all bookings in the month of December, this will be added to your total upon confirmation of booking. All bookings in A grade sites within 4 weeks of Christmas must be week long bookings (Monday - Sunday)*

SITE C1 (Recently upgraded)3x3m Powered Site

$200.00AUD Quantity
Item subtotal:$0.00AUD

Site C2 (CURRENTLY UNAVAILABLE)3x1m Non-Powered Site

$120.00AUD Quantity
Item subtotal:$0.00AUD

Site C33x3m *Powered Site By Request Only (A GRADE SITE)

$200.00AUD Quantity
Item subtotal:$0.00AUD

Site C42x3m Powered Site (A GRADE SITE)

$190.00AUD Quantity
Item subtotal:$0.00AUD

Site C5 (CURRENTLY UNAVAILABLE)3x3m Powered Site

$200.00AUD Quantity
Item subtotal:$0.00AUD

Site C6 5m x 8m *Powered Site By Request Only

$300.00AUD Quantity
Item subtotal:$0.00AUD

Static Display Corridor Frame 101cm H x 76cm W - Lessee to provide posters.

$40.00AUD Quantity
Item subtotal:$0.00AUD

Static Display Double Floor Frame59.5cm W x 84.1cm H - Lessee to provide posters.

$60.00AUD Quantity

Static Display Bathroom Door FramesA4 Portrait - Customer to provide digital image to size.

$80.00AUD Quantity
Item subtotal:$0.00AUD

Static Display Cabinet - Secured with Key Lock 110cm H x 190cm W - Lessee to create own display.

$80.00AUD Quantity
Item subtotal:$0.00AUD

Static Display Table Talkers (All tables excluding Cafe 63 Tables)A5 Flyers - Replaced daily (Digital images to be provided if DSW print option is selected)

$100.00AUD Quantity
Item subtotal:$0.00AUD

Street Banner 5m W x 1.6m H - Must be provided by Lessee.

$200.00AUD Quantity
Item subtotal:$0.00AUD

Local Community Fundraiser - Strict Conditions ApplyMust seek Centre Management Approval prior to booking.

$ FreeAUD Quantity
Item subtotal:$0.00AUD

Centre Management Contracted Bookings - Pre-Approved Company Use Only All prices include GST.

$ FreeAUD Quantity
Item subtotal:$0.00AUD

Tenancy T27 - Pre-Approval RequiredPlease use the drop box to select how many weeks you would like to book. This price includes electricity

$1,000.00AUD Quantity

Enter coupon

Total

$0.00AUD

Start Date*
End Date*
Do you require power to your site?*
If your requested site is not available for your chosen dates, please choose a secondary site. This will be confirmed on approval of application. **This option is not available to Local Community Fundraisers.
Public Liability Insurance
Upload your Public Liability Insurance

Cancelof
Public Liability Insurance can also be provided via email below or dropped in to Centre Management directly, no later than 1 business day prior to the booking start date. Failure to provide a copy of your current Public Liability Insurance will result in cancellation of your booking.

reception@dalbyshoppingworld.com.au
Public Liability Insurance Expiry Date (DD/MM/YYYY):*
If providing at a later date, please enter "TBA"
Special Notes
Special notes or requests for your booking:
Acceptance
Signature of Applicant*

Powered by Jotform SignClear
Date Signed*

DayMonthYear
Date
Please review your choices carefully as a $50.00 Administration fee will be applied to all bookings requesting changes after confirmation. This includes but is not limited to changes in dates, site locations and length of bookings.

To complete your application, please select "Review Answers" and carefully ensure all answers are correct before clicking "Submit" on the next page.
Should be Empty:

Applicant Details

Casual Leasing Site Map

Casual Leasing Options

Public Liability Insurance

Special Notes

Acceptance