Akoonah Park Market

YOUR DETAILS

First name:

Surname:

Email address:

Your postal or street address:

Suburb:

State:

Postcode:

Your stall or business name:

Your best contact phone number:

Your ABN (if you have one):

Website:

http://

Facebook page:

http://

From what date would you like a Stall?

YOUR STALL

What is your main product line:

(If more than one applies - choose one and provide further details below)

Please explain your products in detail:

Stall requirement:

Inside Site (3m x 2m $45)
Inside Double (6m x 2m $90)
Outside Site (3m x 4m $40)
Outside Double (6m x 4m $80)
Outside Triple (9m x 4m $120
Food Site (3m x 4m $100 - power included)
Food Double (6m x 4m $200 - power included)
Food Triple (9m x 4m $300 - power included)
Coffee (3m x 4m $70 - power included)

Would you prefer an Outside Corner site if available (+$15):

Including photos of your products and stall set up below will greatly increase your chances of your application being accepted.

Please upload images of your product:

(JPEG)

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(max file size 10Mb each)

Please upload images of your stall setup:

(JPEG)

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(max file size 10Mb each)

POWER

Does you stall require power (+$3 per 10A)?

If your site needs power, how much power do you require in amps?

I understand that all electrical appliances used in my stall including cables and power boards must be tested and tagged.

(this field is required even if you don't use power)

PUBLIC LIABILITY INSURANCE

Please note that PLI is mandatory for any stallholders who sell food products.

Do you currently have your own Public Liability Insurance?

Please upload a copy of your certificate of currency:

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(max file size 10Mb)

PLI expiry date:

FOOD STALLS

For your food stall to be considered please ensure you provide all the information in this section, including digital copies of your certificates.

COUNCIL REGISTRATION

We require a copy of your certificate of registration with your principle council (where your food is made or equipment stored).

Issuing Council:

Upload a digital copy of your certificate:

(PDF or JPEG)

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(max file size 10Mb)

Expiry date:

STATEMENT OF TRADE

We also require a copy of your Statement of Trade from Streatrader. For more information see http://streatrader.health.vic.gov.au

Upload a digital copy of your Statement of Trade:

(PDF or JPEG)

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(max file size 10Mb)

Expiry date:

ADDITIONAL NOTES

Please provide any further information you think is necessary here:

CAN'T ATTEND THE MARKET?

Please be sure you can attend as no refunds will be given. This includes bad weather, sickness etc...

YOUR AGREEMENT

I have read the Akoonah Park Market Terms and Conditions

Required fields indicated with *