Stall Application Form
Sunrise Rotary Produce & Design Market
Your Name
*
First Name
Last Name
Business/Stall Name
*
Your Email
*
Your phone number
*
preferably your mobile
Address
Street Address
Street Address Line 2
City
State
Post Code
Description of produce/wares to be displayed and sold.
This information will be used in our promotions
Upload a promotional image
Browse Files
For use in promotions. Or email a photo later to producemarketshsr@gmail.com
Cancel
of
Your website
If you have one we will link to it in our promotions eg windellafarm.com.au
Your facebook page
If you have one we will share it in a post on our page eg facebook.com/windellafarm/
Any specific stall requirements
eg If you need a trailer on your stall site, site measurements if you require larger than standard
Number of trestle tables required (if any)
0
1
2
3
(cost $2 each)
Do you require supply of electricity ?
Yes
No
Do you have Public Liability Insurance ?
Yes
No
Upload a scan/photo of your current Public Liability Certificate of Insurance
Browse Files
Or you can email it to producemarketshsr@gmail.com later (but before the market)
Cancel
of
Are you selling any food items ?
Yes
No
Upload a scan of your current FoodTrader Licence
Browse Files
Or you can email it to producemarketshsr@gmail.com later (but before the market)
Cancel
of
Any comments or queries
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I declare that I have read the "STALL HOLDER INFORMATION PACK" for the Swan Hill Produce & Design Market and will comply with the terms & conditions accordingly.
*
I agree
Stallholder Information Pack
I agree to hold Swan Hill Sunrise Rotary Club, including its members and officers, harmless for any of their actions or inactions that cause any loss whatsoever, and agree to indemnify Swan Hill Sunrise Rotary Club for all costs, expenses and claims incurred as a result of their actions.
*
I agree
Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to Swan Hill Sunrise Rotary Club, to use my image and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the Internet). This consent includes, but is not limited to: (a) Permission to interview, video, photograph, audio record; (b) Permission to use my name/business name; (c) Permission to use interviews, videos, photographs or audio recordings of me, in part or in whole, in print media, on television, radio and the Internet (d) Permission to advertise my Business/Stall for the purpose of promoting the Sunrise Rotary Produce and Design Market; (e) Permission to access and copy any media already published (including on the internet) and republish
I agree
I agree but with restrictions
List your restrictions here (e.g. cultural considerations, usage restrictions, expiry of consent, etc):
Submit
Should be Empty: