2019/2020 Season Stallholder Application Form

2019/2020 Season Stallholder Application Form
Business Name: *
Contact Name *
Postal Address *

City State

Post Code
Position
Mobile Phone: *
Email *
Website
Facebook:
Have you previously been involved with the Lakes Entrance New Year's Eve Fireworks and/or Twilight Markets? *

Yes No
If no, please provide a photo of your setup

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Cancel of
Type of set up eg Van, Vehicle, Marquee *
Rego of any onsite vehicle:

Season Stallholder Fees

Are you intending to be a Season Twilight Market & NYE Stallholder *

Yes No
Please select the markets you will be attending. (Minimum of 6 to receive the Season Holder discount )
Individual Twilight & NYE Festival Dates *

Winter Solstice Sat June 22nd 2pm -7pm AFL Grand Final Eve Fri Sept 27th 3pm - 8pm Melbourne Cup Eve Mon Nov 4th 3pm - 8pm NYE Tues 31st Dec 12pm - 12am Sat 11th Jan 3pm - 8pm Chinese New Year Sat 25th Jan 3pm - 8pm Australia Day Sun 26th Jan 3pm - 9:30pm March Long Weekend Sun 8th Mar 12pm - 8pm Good Friday 10th April 12pm - 8pm
Food Stalls: No Season Food Stalls Available
Market Stalls: Please pick appropriate box

3m x 6m 6m x 6m
Food Stalls please provide a copy of your Food Registration License

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Cancel of
Please provide a copy of you Certificate of Currency: *

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Cancel of
Please provide a complete list and descriptions of the products you wish to sell: *
Comments
Applications will close on the 30th April 2019.

50% deposit due 1/5/2019 and balance paid by 1/12/2019

Only 11 twilight food stalls & 16 twilight market stalls available.

BSB 083-721

A/C 259653350

Ref: your business name
Lakes Entrance Inc

ABN: 55941778303

PO Box 758

Lakes Entrance 3909

stalls@lakesentrance.com.au
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