Market Stallholder Application Form
YOUR CONTACT DETAILS:
BUSINESS NAME
*
Contact Person 1
*
First Name
Last Name
Business Contact Number
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Area Code
Phone Number
Mobile
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CONTACT PERSON 2 EMERGENCY PURPOSES
*
Mobile
-
Area Code
Phone Number
Email
example@example.com
Information about your business
*
Select
Art & Crafts
Babies & Children
Collectables
Décor & Indoor Living
Fashion & Accessories
Food Ready to Eat
Fresh from the Farm
Garden & Outdoor Living
Gourmet Pantry & Beverages
Health & Wellbeing
Personal Luxury
Sports & Leisure
Activities
Other
Other Business Sector
*Farmers only* - Are you Victorian Farmers’ Market Association (VFMA) Accredited?
Yes
No
VFMA Accreditation Number?
Supporting Product Lines
If your product is not predominantly made from locally sourced ingredients, please explain how this product would be a unique and beneficial addition to the Market.
Availability to sell at the Market - It is important for us to plan ahead so that we know we can offer a large range of products to our shoppers all year round.
Permanent: 12 Months per year
Seasonal
Casual
Other
Which other Markets do you attend?
About your site? Do you require a
Single 3m x 3m site?
Double 3m x 6m site?
Food Truck 3m x 5m site?
Other
Do you require public liability insurance under the market policy?
Yes (a payment of $20 is required)
No
Do you require access to power? **Please Note Power Only Available at Riverside Park Swan Hill, Shepparton Showgrounds, Victory Memorial Park Wagga Wagga (Limited Power)**
Yes
No
Power lead Connections: (Not available at all markets / events)
1 x power lead $5.00
2 x power lead $10.00
3 x power lead $15.00
4 x power lead $20.00
If yes, what amps do you require and how many outlets of each amp? (Not available at markets / events)
10 amps – How many outlets
15 amps – How many outlets
Own Generator
Yes
If yes, what equipment do you intend to operate?
Is your electrical equipment, including all extension leads, with current test and tag certificates? All electrical cords are to be secured with cable protectors to minimise trip hazards for Vendors, your own staff and patrons. **If Yes, evidence must be provided**
Yes
No
Will you be operating a generator?
Subject to Event Manager written approval prior to vent date. Vendors are to provide their own generators, on the condition that they are in good working order and are barricaded from the public.**Please note that Diesel Generators should be operated at a minimum of 60% load at all times or engine damage may occur causing an emergency situation.**
Yes Please include kVA; fuel type i.e. Diesel and noise level?
Yes
No
Do you require a vehicle at your stall? (Not available at all markets / events) To be discussed with the Event Manager, Grace Pryor. Due to the nature and demand of the l Event, we are governed by OH&S and Council regulations to the positioning of vehicles. Event Management will endeavour to accommodate all vendors.
Yes (please provide dimensions of vehicle and include a photo):
No
Make, model, dimensions of vehicle (include a photo)
Weight of vehicle (Docklands)
Car registration number?
Do you require space for your Car, Trailer, Caravan or Coolroom? (Not available at all markets)
Not required
Car $5 size
Trailer $5 size
Caravan $20 size
Coolroom $20 size
Will you be using a Gas Cylinder or Gas appliances at your stall?
Gas Cylinders and Gas appliances MUST comply with the Occupational Health & Safety Act 2004. If you suspect a gas leak IMMEDIATELY contact the Event Manager and call Emergency on triple zero 000. Due to the nature and demand of the Event, we are governed by OH&S and Council regulations no exceptions will be accepted.
**Please complete the Gas Cylinder and gas appliance Checklist and RETURN the completed form with this application. Refer to the Gas Cylinder / Gas Appliance Application Form in Appendix 1.1**
If yes (please provide details and include a photo with document uploads)
Do you have EFTPOS Availability?
Yes
No
Legal Documentation to Attach - Please tick relevant documents provided
Stallholder Confirmation of Details
I have read and agree to abide by the Lifestyle Markets Rules & Regulations. I confirm that the information provided on this form is accurate and that I will advise Lifestyle Markets Australia Inc of any changes to my products, business or market attendance. I acknowledge the right of the organisers to take photographs of my stall and use them for Lifestyle Markets Australia Inc publicity purposes. I will not denigrate the Lifestyle Markets Australia Inc in any print, electronic or social media and I will not insight denigration of the Lifestyle Markets Australia Inc in any print, electronic or social media. I agree to allow Lifestyle Markets Australia Inc to use information in this application on their Facebook page or website to promote the market.
Name
*
First Name
Last Name
Date
*
-
Day
-
Month
Year
Date
Upload your documents here
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**Please Note** - To secure your site, full payment to be made after submitting this form at the next step via TryBooking Payment Platform. (You can book and pay for multiple markets at the TryBooking payment gateway).
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Tick box
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