PO Box 300 Demark WA 6333 T 9848 3623 E

Markets Application 2016-17 PO Box 300 Demark WA 6333 T 9848 3623 E [email protected] W www.denmarkarts.com.au ABN 36 953 413 894

1: Applicants details – Primary Stall Holder

First name: Last Name : Trading name: ABN: Postal Address: Street: Suburb: Post code: Tel: mobile Email: Website:

Application cut off – 6 weeks prior to market date 2: Applying Email: for Website

10 Dec 2016 (10am – 4pm) 3m² stall ½ size stall Trestle table

07 Jan 2017 (10am – 4pm) 3m² stall ½ size stall Trestle table

21 Jan 2017 (10am – 4pm) 3m² stall ½ size stall Trestle table

15 April 2017 (10am – 4pm) 3m² stall ½ size stall Trestle table

Power (if required) Connection 1 10 amp 15 amp Connection 2 10amp or 15amp Stall Fees

Please familiarize yourself with our Markets Stallholder Policy and Regulations document. Dec and January Market dates: 3m² stall - $75 Oversize (3m² plus ½ size stall) if available - extra $15 Dec and January Market dates: ½ stall - $45 Power - $30 per connection. Trestle table - $15

Easter Market only - $140 Easter 3m² stall: $110 (if booking one or more other market dates) Easter ½ size stall: - $80

SEASON DISCOUNT: All 4 market dates with payment of invoice by end Nov 2016. 10% discount (this is for stall only and does not include cost of membership, trestle table hire or power supply)

INSURANCE: All stall-holders are required to get Public Liability Insurance and some stall-holders will also require Product Liability Insurance (see Policy and Regulations) Copy of current certificate of insurance is attached

DO NOT SEND PAYMENT WITH APPLICATION Registered Not for Profit organization: 3: Stall details

Please give detailed description of your hand crafted goods OR service (Photos must be included for 1st time application or new product line inclusion)

Ready to Eat Food Stalls – Please provide dimensions. length x width

Product list: please tick all relevant boxes that apply to your product Accessories - fashion Jewellery Accessories - garden Knitting Accessories - home Leatherwork Aromatherapy Literature Author lotions and creams Bags Metalwork Candles (beeswax) OTHER: please specify Candles (soy) Ceramics Clothing Baby wear Clothing Children's Clothing Ladies Clothing Men’s Painting Clothing Unisex Paper crafts Drawing/Illustration Photography Fresh produce Plants Food - Gourmet Printmaking Food – Health Recycled /Up-cycled Food – Ready to eat Resin Art Food – Preserves /dried Sculpture Furniture Shoes Glass Art Soap and bath Hats Soft furnishings Herbs Toys Home-wares Woodwork

DO NOT SEND PAYMENT WITH APPLICATION Product Production:

Do you make/grow the products yourself? entirely partially not at all ↘ If partially or not at all, are you directly involved in the creative/design process? Yes No ↘ If partially or not at all, which part of the process are you involved with?

Are any parts of your product made or come from overseas? Yes No ↘ If YES, please give details

4: Declaration

I have read and agree to comply with the rules and regulations as specified in the Denmark Arts Markets policy and regulations document.

agree / / Tick agree or Sign Date

Image Consent : (not compulsory, and refusal will in no way affect the success of your application) I give consent to Denmark Arts Council Inc. to use and retain images of me and my products and/or stall. I understand that by giving consent the images may be used for promotion and archiving in relation to the activities of the Denmark Arts Council Inc or any of its funding bodies. Denmark Arts Council Inc may reproduce the images in any form, in whole or in part, and distribute by any medium including electronic. Yes No

I give consent for Denmark Arts Council Inc to place my contact detail and/or web-link, including a photo which represents my stall, on their website. Yes No

DO NOT SEND PAYMENT WITH APPLICATION