Market Stallholder Booking Form

Please complete all areas of the below form, uploading all required documents including a current copy of your Public Liability Insurance if available.

Mandatory fields are marked with an asterix (*)

View the Piallamore Market Stallholder Terms and Conditions here (PDF 180.5KB)

Stallholder Details

Business Name*

Street Address*

Suburb*

State*

Postcode*

Contact Name*

Email Address*

Mobile Number*

Do you consent to Tamworth Regional Council updating their records with the information provided above?*

Site Details

Please provide a brief description of your stall/amusement device (e.g. food van/outlet)*

How many sites do you require?*

Supporting Documents

Please upload a copy of your current Public Liability Insurance (if available)

Stallholder Terms & Conditions

All stall operators and staff must adhere to the NSW Food Authority Temporary Food Handling Guidelines (PDF 636.4KB)

All stallholders must adhere to the Market Stall Booking Form Terms and Conditions.

I have read, understood and agree to comply with the Market Stall Booking Conditions for this event*

Signature

Please type your signature

Please sign here

Privacy Statement

Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB).

Mandatory field(s) marked with *