<p> Iconic Toowoomba Do you have public liability insurance? Yes Please provideLanguages a copy of your current and public Cultures liability insurance certificate Festival Food Stall Application Form 10 August 2014 </p><p>Name of Community Group Incorporation No </p><p>ABN Name of Independent Organisation: Food License # Please provide a copy of food licence certificate/s Country/Culture you represent </p><p>1. Contact name Ph or Mobile No </p><p>Address Email</p><p>2. Contact name Ph or Mobile No </p><p>Address Email</p><p>Did you participate in the Toowoomba Languages and Cultural Festival ‘06, ‘07, ‘08, ’09, ’10, ’11 ’12 13’? (please circle) About your community group/organisation: Please provide a brief description of the type of goods for sale: Important: In the interest of festival organisation demographics, it is essential that food stall operators ONLY sell those foods that they have indicated.</p><p>The fees quoted below are Early Bird fees. A 10% surcharge will apply to all applications received after June 30, 2014. PLEASE COMPLETE AND RETURN BY 30 JUNE 2014 Qty Stall type Price Total Non-profit and community group food stall $130 3 x 3 m (site fee) 3 x3 m tent hire $75 Commercial vendors food stall $300 Area size required: Electricity Supply please circle: 10 amp 15 amp $55 Number of sockets + $15 per extra socket You will need one socket per appliance – using powerboards or double adaptors is not permitted Please supply your own electrical lead – tested prior to event Extras Table 8’ Rectangle $14 Chair $2 Hot Food Bar (Baine Maree) (please circle 2 Tray $70 (Limited availability please book early) 3 Tray $75 4 Tray $80 5 Tray $85 6 Tray $90 DM#5706514 1 Form No. S4 Total No</p><p>Community Food Stall Holders (not Commercial) are required to attend a FREE compulsory Food Health and Safety Workshop prior to the Festival. Any Community Food Stall Holder who does not attend the Food Health and Safety Workshop will not be permitted to participate at the Festival. You will be contacted, and provided details of the workshops, in July 2014. </p><p>Food Stall Holders are advised to provide their own food thermometers</p><p>As a condition of entry to the festival, applicants are required to sign a Deeds of Obligation and Indemnity form. Toowoomba Regional Council staff will be present on the day of the festival to assist with the completion of this form. Please call Kirsten Casey on 4688 6974 if you have any questions. </p><p>The answers that I have given are true and correct. </p><p>Signature of Applicant Date / / </p><p>Privacy statement Toowoomba Regional Council is collecting your personal information for the purpose of registering you, or your organisation as an Exhibitor at the Toowoomba Languages and Cultures Festival 2014. The collection of this information is authorised under the Local Government Act 2009. Your information will not be given to any other person or agency unless you have given us permission or we are required by law. </p><p>Payment options 1. Cheques must be made payable to Toowoomba International Multicultural Society and post to the address below.</p><p>2. direct deposit from a savings or cheque account to: TIMS TLC Festival BSB 124052 Account 22154293</p><p>3. or, in person at any Bank of Queensland branch using the account details above. </p><p>Completed application forms can be emailed to [email protected] Mailed to: Kirsten Casey Toowoomba Regional Council PO Box 3021 Customer Use Toowoomba QLD 4350 Amount paid Or in person at 12 Little Street Toowoomba Date Reference /receipt number </p><p>DM#5706514 2 Form No. S4</p>