Stallholders application

Date:

I am applying for:

Kiama Makers & Growers Market 4th Saturday of the month

Good Friday market 19 April 2019

My Name:

Email:

Business name:

Phone (Mobile preferred)

City or Suburb:

My website:

My Facebook page:

My Instagram page:

Other Social Media page:

Other markets I attend:

Number of 3 x 3 sites I require:

Check All That Apply:

I drive a car

I drive a van

I drive a truck

I tow a trailer

Check All That Apply:

I have a gazebo

I do not have a gazebo

I serve from a truck or trailer

I have an umbrella

Choose One Option:

Food

Non-food

Description of goods sold. Only type/variety of goods listed here can be sold at the market:

Food stalls only. All food stalls in Kiama require a Kiama Council Temporary Food Permit. Provide your permit number:

Power requirements:

Powered site only:

Insurance:

I am insured with:

Policy Number:

Insurance expiry date:

Additional information to help us assess your application:

If you do not hear from us in 48 hours, please call Kerrie on 0415 900 913

Acknowledged

Do you have a photo of your setup or products?:

Market stall application