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Stall holders registration form Mid Mountains Festival 2017
Group or Stall Name
Your answer
Contact Person's Name
Your answer
Postal Address
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Phone Number/s
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Email Address
Your answer
Website or Facebook page
Your answer
Do you have Public Liability Insurance?
all stall holders must have their own publci liability insurance. Please call the centre if you need help with this aspect of holding a stall.
Public Liability Insurance
Please provide Insurance Company name, Policy Number and Expiry Date
Your answer
NSW Food Authority Rego No (for food stalls)
Your answer
Type of Business/Organisation
Do you require electricity?
powered sites ar elimited so please secify if you need it allocated.
Your answer
Type of Stall
Specific Items (or food) Sold
Please provide as many details as possible
Your answer
Do you require help obtaining a table or marquee?
Please note that you should bring all your own equipment as we have very few resources to provide.
Your answer
Confirming your stall: Send your Certificate of Currency to danielle@mmnc.org.au or post it to: Danielle Wilding-Forbes, Mid Mountains Neighbourhood Centre, PO Box 117, Lawson, NSW 2783. Payment must be made no later than two weeks prior to the event. (unless otherwise organised) In the case of the event being cancelled you will receive a full refund. Unless cancellation is due to rain. In the case of rain the festival will still incur running cost which must be covered.
: Make payment by cheque to MMNC (address above) or direct deposit to: Bendigo Bank: BSB: 633000 Account Number: 133017020 Account Name: Mid Mountains Neighbourhood Centre Inc. Reference: Your Group or Stall Name as you wrote above so we know who made the deposit! If you have any questions or queries, please contact Danielle at the Neighbourhood Centre on 47592 592 or by email danielle@mmnc.org.au
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