Witches Market Stallholder Application Form

Witches Market Stallholder Application Form
Contact Information
Name

First NameLast Name
Business/Organization Name (if applicable)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Stall Information
FoodOther
Goodna Feb 8Bundaberg March 22Raby Bay April 5Bribie Island April 19Samhain Ball May 5Toowoomba May 10Fraser Coast June 29Gympie July 12Springfield July 29Petrie Aug 9Mudgeeraba Sept 6Raby Bay Oct 4Beltane Nov 8 & 9Kallangur Nov 15
Brief Description of Products/Services
Do you have Social Media, if yes please list below
YesNo
Special Requirements/Requests
YesNo
Please provide policy details
Please provide at least three images of your products/services or stall setup

Cancelof
Agreement and Signature:

I, { }, hereby confirm that the information provided in this application is accurate. I agree to abide by the rules and regulations set forth by the Witches Market in their general terms and conditions. I understand that the submission of this application does not guarantee a stall, and stall allocation will be at the discretion of the organizers.
Date

MonthDayYear
Date
Signature

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Contact Information