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Palm Beach Stallholder Expression of Interest Form

Please complete this form to express your interest in becoming a stallholder at the Palm Beach Market.

Please note

there is no power available at this site
site allocations are space only - you are required to provide your own equipment

Applicant name
Company name
ABN If you are a company an ABN must be provided
Mailing address
Suburb
State
Postcode
Office hours contact number
Mobile contact number
Fax number
Email address
Website address

Do you require a 3mx3m site?	Yes No
If you require a site of another size, please specify site requirements

Name of Insurance Company
Policy Number
Expiry Date
Attach a copy of your insurance here.

Describe the type of product you wish to sell
Please provide images of your goods

What dates would you like to book?

By submitting this form you will be accepting the Terms and Conditions of the booking agreement.