DAYLESFORD HIGHLAND GATHERING COMMITTEE ABN: 68 813 643 511 Incorporated Reg. No. A.3194 since 1952 STALLHOLDER APPLICATION: (To be completed and returned by 31st October) 1. Business Name: Address: _________________________________________________________ _________________________________________________________ _________________________________________________________ Contact Name: ____________________________________ Phone No:____________________________Mobile No:____________________ Email: ___________________________________ 2. Type of goods to be sold: ________________________________ 3. Frontage you require for your stall: (please tick) 4 metre frontage $125 6 metre frontage $150 8 metre frontage $200 Power $20 4. Required information I have current public liability insurance and enclose copy I will apply for public liability Insurance as offered through the Hepburn Shire Council. I have included a copy of Food Act registration (if applicable) I have read the Terms & Conditions statement and agree to the conditions/obligations. 5. Payment Payment has been made via EFT Acct Name: BSB No : Acct No: Daylesford Highland Gathering Comm. Inc. (DHGC) 013 600 Bank: ANZ Branch: Daylesford 9004 74172 Payment is enclosed as a cheque Signed:_______________________________________________Date:………………… Please send all applications and supporting documentation to: Secretary Cameron Telfer P.O. Box 36, DAYLESFORD Vic 3461 Ph: 0437 659 148 Fax: 53481800 Email: [email protected] DAYLESFORD HIGHLAND GATHERING COMMITTEE ABN: 68 813 643 511 Incorporated Reg. No. A.3194 since 1952 Terms & conditions of the Stallholder/Vendor All stallholders/vendors must have a Policy that is current on 1st December 2014 that includes a min of $10M public liability and $10M product liability. The Highland Gathering has access to an insurance policy through the Hepburn Shire Council. The policy will cover the Stallholder for the above liability at a cost of $50.00 (inc GST) The Stallholder application includes a section to complete, should you wish to take advantage of this offer. Stallholders without suitable public liability policy cannot trade. Stallholders requiring more space will need to hire this extra space as per application form) Stallholders receive two complimentary tickets with each booking. If more tickets are needed they can be purchased. All stallholders selling food MUST register with the Hepburn Shire Council under the Food Act. Please send all applications and supporting documentation to: Secretary Cameron Telfer P.O. Box 36, DAYLESFORD Vic 3461 Ph: 0437 659 148 Fax: 53481800 Email: [email protected]
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