Letterhead with Footer

Food Stall Holder Application Form

Applicants Details Applicants Name: Business Name: Postal Address:

Mobile: Email:

Please state Y or N in the boxes below.

Dates Available: Time Y/N Commercial Fee’s FOC Exhibition / Display Australia Day 2016 $0 Tuesday 26th January 10am – 2pm $50.00 $0 Free for non for profit Tuesday 26th January 3pm - 8pm $50.00 $0 Free for non for profit

If you would like to be on the data base that the City of Greater Geraldton shares with Event Nation and other external companies, please circle Yes or No: Y or N

Stall Description: Sale Price:

Describe your products in 30 words or less:

Marketing: Please list the details Do you have a Face Book Site: Do you have a Website: Do you operate at any other regular events: Do you have display boards: Please email 2 photographs that can be used in the promotion of the event to [email protected]

Size: size of 3m x 3m is a standard floor space provided to each stall holder What size is your gazebo/marquee: Do you require further space:

Total space required:

Power: Please ensure you give as much detail as possible

Appliance Amps Required:

Providing Own Power: Requires Event Power: PLEASE NOTE: Night Light: Please provide your own inside marquee lighting for night events You will need to provide your own cords, cord covering and tagging of cords. The CGG will provide distribution boards for the generators

Please tick below a list of requirements that is applicable to your stall that you will supply.

Food And Beverage Stalls: Food & Non Food Stalls :

Rubbish Bins A Change Float To Suit Your Pricing

Hot Display And Storage; Bain Marie Trestle Tables And Covers

Cold Display And Storage; Fridges, Eskies Chairs To Sit On

Cooking Equipment; Deep Fryers, Woks, BBQ Display Signage

Dedicated Buckets To Wash Equipment Promotional Materials

Water Supply/Waste Water Disposal Point Clearly Labelled Products

Hand Washing Facilities; Running Water With Liquid Soap And Paper Fire Extinguisher Towel

Food Safe Sanitiser and Cleaning Products Drinking Water

Legal Point Of Waste Water Disposal A Marquee Or Tent

Documentation: for this application to proceed, have you attached the required documentation? Current Public Liability: Food Safety Certificate: Food Business Approval (CGG Form H009) Approved Food Vehicle: Working With Children: Responsible Service of Alcohol: Approved Manager: Risk Management Plan: First Aid Certificate: Fire Training: Any other: Site map/ stall plan Page 2 of 3

Fees: Profit: Non Profit: No Charge:

Useful links: www.cgg.imalert.com.au FREE Food Safety Training http://www.dsr.wa.gov.au/assets/files/Organisational_Development/Can_You_Risk_It_Web.pdf Risk Plan & Guidelines http://www.public.health.wa.gov.au/cproot/3655/2/Concerts%20and%20Mass%20Gathering%20Guidelines.pdf Event Guidelines www.localcommuntyinsurance.com.au Public Liability

Please sign below and return to us as soon as possible, many thanks.

Signed: ______

Date: ______

Contact the Events Team on (08) 9956 6600 or [email protected]