Business name (*)

Invalid Input
Please provide us with your businesses ABN:

Please supply an ABN if your business has one
Main contact first name (*)

Invalid Input
Main contact last name (*)

Invalid Input
Postal Address (*)

Invalid Input
Suburb (*)

Invalid Input
Postcode

Invalid Input
Location address, if different (*)

Invalid Input
BH Phone (*)

Please enter the phone number with no spaces.
AH Phone number (*)

Please enter the phone number with no spaces.
Mobile number for main contact (*)

Please enter the phone number with no spaces.
Fax number

Invalid Input
Main contact email address (*)

Invalid Input
Please supply your business website address and we will add links to the farmers market website

Invalid Input

Please indicate stall requirements:

Outdoor: Number of sites

Invalid Input
Do you require power (*)
YesNo
Invalid Input
Which months would you like to book for: (*)
March 2010
April 2010
May 2010
June 2010
July 2010
August 2010
September 2010
October 2010
November 2010
December 2010

Invalid Input
If outside, do you require a vehicle at your site? This is at the market managers discretion (*)
YesNo
Invalid Input
What are the dimensions of your vehicle?

Invalid Input
What are the reasons for you to have a vehicle at your site?

Invalid Input

If you are a returning stallholder and have completed a registration form in the last 12 months then please skip to the payment section of this form. Thank-you


Please provide details of products you plan to sell at the Market/s (note, just ‘vegetables’, ‘fruit’ or ‘chutneys’ etc is not sufficient. We need to know the type of fruit, vegetables, or chutneys etc and if they are seasonal, when they are available)

Please indicate person/s who will be attending the Market/s on a regular basis and their role in producing the product (e.g. owner, grower, and employee).

Invalid Input
Fresh products or livestock details

Invalid Input
Where are they grown

Invalid Input
Available when, if seasonal

Invalid Input
Value added or manufactured products

Invalid Input
Which ingredients are sourced locally?

Invalid Input
If your products are not grown in Golden Plains Shire, or if the principal ingredients are not grown in Golden Plains Shire, why do you believe you should be allowed to sell at the Golden Plains Market?

Invalid Input
Do you have public liability of $10m or more? (*)
YesNo
Invalid Input
Please attach your insurance information.

Invalid Input
Do you have product liability?
YesNo
Invalid Input
If you have product liability please upload copies here

Invalid Input
Food permits are required for all stalls selling food. We will require proof on the day. Do you have a food permit (if required)
YesNo
Invalid Input
Do you require a liquor licence. If serving or selling alcohol you are required to gain a temporary liquor licence for this event. (*)
YesNo
Invalid Input
Are you accredited through the VFMA? (*)
YesNoIn the process
Invalid Input
Have you read, understood and signed the Golden Plains Market Charter: (*)
Yes
No - for your application to be accepted you must agree to these

Invalid Input
Number of sitess to pay for (*)

Invalid Input
Please indicate the type of site and time that you would like to book for (*)
Single market - unpowered (40.00 AUD)Single market - powered (55.00 AUD)Purchase 4 - unpowered (140.00 AUD)Purchase 4 - powered (200.00 AUD)Marquee site - unpowered (100.00 AUD)Marquee site - powered (115.00 AUD)Purchase 4 - marquee & powered (440.00 AUD)Purchase 4 - marquee & unpowered (380.00 AUD)
Invalid Input
How will you be paying for your market sites? (*)
PaypalWire Transfer
Invalid Input
Once your form is complete click here for payment arrangements