Stallholder Application Form - Daylesford Highland Gathering

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]