<p>Penrith Tuesday Charter Market Stallholder Registration Form</p><p>Please complete the details below: Name:______Address:______Post Code:______Telephone No:______Please list the goods you wish to sell at the market. ______Size of stall or space required: ______All stallholders are required to hold public liability insurance. Company:______Policy Number:______Expiry date:______All Stallholders must complete a Booking Form to confirm attendance and read the Rules of the Market. Pitch Fees</p><p>The charges are: Standard pitch = £1.25 per foot/£4.10 per metre Bandstand (covered) = £1.50 per foot/£4.92 per metre I agree to pay the pitch fees (please tick): Weekly ☐ Monthly ☐ on the second Tuesday of the month Cheque payments are preferred and outstanding fees are required to be paid by the last Tuesday of each month.</p><p>YB 01/2014 1 Applicant Statement</p><p>1. I understand that my details may be supplied to other authorities as detailed below ☐</p><p>The Council is required by law to forward contact details and the dates of attendance to the Department of Inland Revenue, the Trading Standards Office and Environmental Health if and when requested.</p><p>2. My public liability insurance is valid and I will supply a copy of the policy if asked by the Council. ☐</p><p>3. I will only sell the goods as detailed in my application and I will inform the Council if I wish to change or add to the items being sold on my stall. ☐</p><p>4. I will ensure that no litter or debris from the stall is left behind on the market site when I leave. ☐</p><p>5. I have received a copy of the Rules of the Market and agree to abide by them. ☐</p><p>Signed:______</p><p>Please print name:______</p><p>Date:______</p><p>For official use Date of first attendance at Penrith Tuesday Market:______</p><p>YB 01/2014 2</p>