Market Registration
Enter your details to register for the market.
What Market Date would you like to attend?
-
Month
-
Day
Year
Date
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
Business or Stall Name
Type of Products or Services Offered
What size site would you like?
Single Site $25
Double Site $40
Does your stall require access to power?
Single 10 Amp
Double 10 Amp
Single 15 Amp
Double 15 Amp
3 Phase
Do you have a copy of all relevant insurance and certificates available to provide on request?
Public Liability
Product Insurance
Food Safety Handlin Certification
Please upload a copy of all current relevant Certificates of Currency
Browse Files
Drag and drop files here
Choose a file
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of
Please read the Poppet Head Plaza Rotary Fact Sheet Carefully before agreeing to all the requirements of being a registered stall holder.
I Understand and Agree to operate within the rules of the Poppet Head Plaza Rotary Markets
Register
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