Event Food Stall Application

Event Food Stall Application - Other Events
Applicant name (nominated person responsible and accountable for the stall): *
Please provide your full name
Business/Stallholder name:*
Contact address:*

Street Address

Street Address Line 2

CityState

Postcode
Email:*
example@example.com
Phone Number:*
Please enter a valid home or mobile number
Name of the Local Government where the food business is registered:*
e.g. City of Busselton, Town of Cambridge etc.
Please upload a copy of your current Food Business Registration Certificate*

Cancelof
Type of goods for sale:*
Proposed site location:*
e.g. Brockman St Event Precinct
Please provide details of how you will be dealing with the following food safety issues:
Food protection (both during transport and operation of the stall):*
Refrigeration of food (both during transport and operation of the stall):*
Cooking or reheating method (for readily perishable foodstuffs):*
Handling of food (eg. use of gloves, tongs etc):*
Separation of food and money handling:*
Hand washing facilities:*
Event Authorisation
Has your food stall been approved by the event organiser?*

YesNo
For the 2024/25 financial year, the fee payable to the Shire of Nannup for a permit to trade at this event is $55.

Please note the event organiser may charge their own stallholder fees on top of this application fee.
How would you prefer to pay your application fee to the Shire of Nannup?*

Please email an invoicePlease contact me by telephone
Please note that your application fee is due no less than 7 days before the event begins. If the fee has not been paid, you will not be issued with a permit to trade at this event.
Applicant's Signature*

Clear
Should be Empty:

Event Food Stall Application - Other Events

Please provide details of how you will be dealing with the following food safety issues:

Event Authorisation