ALL SECTIONS OF THIS FORM MUST BE FILLED IN PLEASE ENSURE YOU PROVIDE A POSTAL ADDRESS TO RECEIVE – STALLHOLDER PACK STALLHOLDER NAME: CONTACT PERSON: POSTAL ADDRESS: PHONE - LANDLINE: - MOBILE: EMAIL: STALL CATEGORY: Food (details) Please circle what you will be Council Certification Number if held: selling/displaying Beverage (details) Please detail kind of Art food/beverage being sold Clothing Other (details) If please explain what ‘other’ (please circle) 3mx3m 6mx3m STALL SITE SIZE REQUIRED METHOD OF PAYMENT Cheque Sent Internet Paid Cash/Cheque Paid (at DB Info (please circle) Centre) Yes No DO YOU WISH TO RUN A GENERATOR? IF YES, WHAT SIZE (KW) & Size (KW): Petrol or Diesel TYPE PURPOSE OF GENERATOR The necessary use of a generator will be taken into consideration but may not be approved unless suitably located DO YOU REQUIRE A VEHICLE Yes TO BE LEFT ON SITE? (Note point 7 in for No ‘Information Stallholders’ above & Extra charge) PLEASE EXPLAIN THE REASON FOR VEHICLE REQUIRED I/We understand and agree to be bound by the terms and conditions stated in ‘Stallholder Information’ above. (signature required) Stallholder(s) Name: Date: Signed: Receipt required (please circle): Yes No Please return this form to: Doubtless Bay Promotions Inc, Attention: Event Manager PO Box 338, Mangonui 0442 jodi@somersault.co.nz or text/phone 021 949 690
ALL SECTIONS OF THIS FORM MUST BE FILLED IN – PLEASE ENSURE YOU PROVIDE A POSTAL ADDRESS TO RECEIVE STALLHOLDER PACK STALLHOLDER NAME: CONTACT PERSON: POSTAL ADDRESS: PHONE - LANDLINE: - MOBILE: EMAIL: STALL CATEGORY: Please circle what you will be selling/displaying Please detail kind of food/beverage being sold If ‘other’ please explain what Food (details) Council Certification Number if held: Beverage (details) Art Clothing Other (details) STALL SITE SIZE REQUIRED (please circle) 3mx3m 6mx3m METHOD OF PAYMENT (please circle) Cheque Sent Internet Paid Cash/Cheque Paid (at DB Info Centre) DO YOU WISH TO RUN A GENERATOR? IF YES, WHAT SIZE (KW) & TYPE Yes No Size (KW): Petrol or Diesel PURPOSE OF GENERATOR The necessary use of a generator will be taken into consideration but may not be approved unless suitably located DO YOU REQUIRE A VEHICLE TO BE LEFT ON SITE? (Note point 7 in ‘Information for Stallholders’ above & Extra charge) Yes No PLEASE EXPLAIN THE REASON FOR VEHICLE REQUIRED I/We understand and agree to be bound by the terms and conditions stated in ‘Stallholder Information’ above. (signature required) Stallholder(s) Name: Date: Signed: Receipt required (please circle): Yes No Please return this form to: Doubtless Bay Promotions Inc, Attention: Event Manager PO Box 338, Mangonui 0442 jodi@somersault.co.nz or text/phone 021 949 690
stallholder-registration-2018.docx