WW 2025 Stall Holder Registration Form

EOI Application Form

Event Stall Holder applications close on 9th September, 2026
Event Information

Please see the event date, time and location below.
Event Date:

Wednesday 30th September, 2026

Event Time:

10:00am - 2:00pm
Set up before 9:30am and pack up after 2pm

Event Address:
Eastern Foreshore Reserve, Mandurah Terrace, Mandurah WA
Attendee Information

Please fill name and contact information of attendees.
Name Of Your Business or Organisation
Full Name

First NameLast Name
Email
example@example.com
Contact Mobile Phone Number
Format: 0000-000-000.
Landline Phone Number
Please enter a valid phone number like this example 5550 9474.Format: 0000-0000.
Postal Address

Street Address

Street Address Line 2

CityState / Province

Post Code
Tell us about your business or organisation

Please provide a brief description of the services your organisation offers or the products you sell.
Please provide a brief description of the services your organisation offers
Please provide a brief description of any activities that will form part of your stall
Public Liability Insurance

Your insurance documents must be provided BEFORE you are accepted to attend the event. Please upload your documents below.
PLEASE ENSURE YOUR DOCUMENTS HAVE BEEN UPLOADED BEFORE SUBMITTING YOUR APPLICATION
File Upload

File types zip, PDF, doc are docx accepted. PDF is preferred.
Cancelof
Terms and Agreement

You agree to and understand the prerequisites of the Wellness Wednesday event by clicking on the checkboxes for each statement below.
Check each required condition below to indicate you understand and agree.
Please verify that you are human.
Should be Empty:

EOI Application Form

Event Information

Attendee Information

Tell us about your business or organisation

Public Liability Insurance

Terms and Agreement