LOHAS Precinct Demonstrator/Grower/Producer/Stallholder Application

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Please complete the form below in as much detail as possible. This is an application to become a Demonstrator/Grower/Producer/Green Exhibitor at our weekly saturday morning LOHAS Precinct in Burleigh.

Please read our Letter of Invitation before completing this form:
http://lifechangingevents.net.au/downloads/Lohas%20Invitation%20Download.pdf

As part of the collaboration with Gold Coast Farmers Markets, we would like all participants in the LOHAS precinct to understand and abide by the Terms and Conditions outlined for the operation within Gold Coast Farmers Markets (Burleigh Markets):
http://lifechangingevents.net.au/downloads/LOHAS%20Terms%20and%20Conditions%20Burleigh%20Gold%20Coast%20Farmers%20Markets.pdf

Terms and Conditions for the LOHAS Precinct:
http://lifechangingevents.net.au/downloads/LOHAS%20Terms%20and%20Conditions.pdf

Name *

Company (if applicable)

Address

Enter your full address including postcode

Mobile *

Other contact phone number(s)

Email *

Choose the from the following that best describes you *

Demonstrator

Grower

Producer

Green Exhibitor

Farmer

Artisan

Wholesaler

Manufacturer

Charity

Other:

Required

Farm Location/Address (if applicable)

Are you attending any other Markets? If so, please list them here:

Size of site required *

Small (trestle 2m x 1m)

Medium (standard size 3m x 3m)

Large (eg 6m x 3m)

Extra Large (eg 6m x 6m)

What date do you want to begin attending the market?

Do you require space on site for a vehicle?

Yes

Clear selection

If yes, describe your vehicle, including it's approximate dimensions:

Do you require power?

Yes

Clear selection

If yes, how many power points?

List all products that you intend to sell at the market: *

Please tick from the following list, the items that you apply to you

I have Public Liability Insurance

I have a Food Handling Licence

I have an Organic Certification Certificate

Other:

Terms and Conditions

Please read the Letter of Invitation and Terms and Conditions (links at the top of this page) that support this application form.

By submitting this form, do you confirm that you agree to the Terms and Conditions? *

Yes

Submit

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