www.katherinemarkets.com.au

Katherine Community Market Stallholder Permit Application Form

Complete this application form to register and obtain a permit to attend the Katherine Community Market as a Casual or Permanent Stallholder. When a market site is booked Casual Stallholders are entitled to free product listings in the website showcase at www.katherinemarkets.com.au Permanent Stallholders are entitled to a free display page on the website dedicated to promoting an enterprise and product range as well as free showcase listings as described above.
Name:
Postal Address:
Email Address:
Telephone week days (wd):
Telephone evenings & weekends (ah):
Mobile:
FAX:
Other contact method:
My preferred contact methods are: Email
Telephone (wd)
Telephone (ah)
Mobile
Fax
SMS TXT
Post
Other
I wish to register and obtain a Stallholder Permit for a: Permanent market stall
Casual market stall
I am interested to know about the Katherine Region Food Processing Group kitchen and how I can use the approved commercial food preparation and kitchen facilities to make a product so I don't have to obtain approval to prepare food at home: Yes
I have read, understand, accept and undertake to comply with the Katherine Community Market Rules. Yes
This is a new application, a renewal, or to update my details, please select: New
Renewal
Update
Please briefly list (or describe) the kind of items you intend to have at your market stall:
Signature:
Name:
Date:
Do you wish to advise that you hold any of the following? Mark each box where applicable: ABN Registration
GST Registration
Business Name Registration
Food Business Registration
Fish Retailers Licence
Own Insurance
First Aid
Enter ABN
Do you require a Tax Invoice? Yes
PRINT OR SAVE - NOW - BEFORE SELECTING SUBMIT FORM. A printed copy with your signature must be received by the Katherine Community Market Manager  before a Stallholder Permit can be issued.







Required
  • First name, second name and postal address.
  • Select check boxes for the ways you would like used to communicate and be advised about enquiries for items advertised on the Website.
  • Order of preference; Email, Fax, Text and Phone.
  • At least one phone number is important for contact at short notice.
  • Read " Operating Rules ".
Need questions answered? Have a good idea? Contact us!

Email:info@katherinemarkets.com.au
PO Box 1991 Katherine NT 0851
Ph: (08) 89710372 Mbl: 0428 730363 or Fax: (08) 89723756

Options
  • Complete and print this form online first, click on "Submit", sign and send the printed copyby fax or mail.
  • Print this form, fill it in by hand and send it by fax or mail.
  • Ask for an application form to be sent to you by fax or mail.


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