Byron Community Market

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Byron Community Market
Stallholder Application - Food Vendor

Please make sure you have all supporting documents ready before filling out your application.

Checklist:

Read this application form from beginning to end.
Read and understand the Byron Community Market Code of Conduct
Read and understand the Byron Community Market Rules and Regulations.
Have a digital copy of your proof of address ready.
Have a digital copy of your current PLI certificate to the value of $10m ready.
Have a digital copy of your Byron Shire Food Permit ready.
Have a digital copy or your Food Safety Certificate ready.
If you are a food van/truck or trailer please have a scale diagram of your footprint ready.

Required fields indicated with *

YOUR DETAILS

First name:

Surname:

Email address:

Trading name:

(stall name)

Website (or facebook):

http://

Instagram:

http://

Postal address:

Postcode:

Mobile:

Home phone:

Vehicle Rego(s):

You must provide regos for all vehicles associated with your stall or staff.

PROOF OF ADDRESS

Please upload a copy of your photo ID as proof of address (eg Drivers License):

(PDF or JPEG)

Your browser doesn't have HTML5 support.

(max file size 10Mb)

YOUR FOOD STALL

The stall size you require:

Does your stall include a vehicle or trailer (NOT AVAILABLE TO CASUALS) (+$6)?

Other requirements/information?

BYRON SHIRE FOOD PERMIT

Food permit number:

Food permit expiry date:

Upload a digital copy of your current food permit:

(PDF or JPEG)

Your browser doesn't have HTML5 support.

(max file size 10Mb)

FOOD SAFETY CERTIFICATE

Food Safety Certificate number:

Food Safety Certificate expiry date:

Upload a digital copy of your current Food Safety Certificate:

(PDF or JPEG)

Your browser doesn't have HTML5 support.

(max file size 10Mb)

POWER

Do you require power?

How many leads/power points do you require ($10/lead)?

Overloading the power system will incur a $300 fee.

List your appliances and power requirements:

PRODUCTS

Provide a description of your products. Including full menu:

Please upload images of your products:

(JPEG)

Your browser doesn't have HTML5 support.

(max file size 10Mb each)

Please upload images of your stall:

(JPEG)

Your browser doesn't have HTML5 support.

(max file size 10Mb each)

ORIGIN

Your Shire:

1. Byron
2. Ballina, Lismore or Tweed
3. Out of area

FOOD VAN / TRUCK OR TRAILER ONLY

Please upload a drawing of your food van/truck or trailer footprint.

Clearly mark the dimensions(width & depth) of the van/truck or trailer (including tow bar) and which side your service area is on. Please show us any extra space you require whilst operating, including fold out awnings/umbrellas's etc. Map must be to scale.

* All food trucks must provide this information here to be considered for the market.

Upload a digital copy of your food van/truck or trailer footprint*:

(DOCX, PDF or JPEG)

Your browser doesn't have HTML5 support.

(max file size 10Mb)

PUBLIC LIABILITY INSURANCE (PLI)

You are required to have your own PLI to the value of $10m.

Your PLI Insurer:

Your PLI expiry date:

Upload a digital copy of your current PLI Certificate:

(PDF or JPEG)

Your browser doesn't have HTML5 support.

(max file size 10Mb)

YOUR AGREEMENT

I agree that I have read and will comply with the Byron Community Market Rules and Regulations.

I agree that I have read and will comply with the Byron Community Market Code of Conduct

I agree to pay the required stall fees by the due date.

If you do not receive a copy of this form via email you should:

Check you Spam & Junk folders.
Ensure your email account is not full or deactivated.