Stallholder and Product Details

First Name *

Surname *

Phone Number *

Email Address *

Business Name

Business Address

Brief Description of Product *

Stallholder Checklist

I have read and understood all terms and conditions *

YesNo

I have completed all required stallholder and product details *

YesNo

I will be selling food *

YesNo

I have attached a copy of food licence and food safety supervisor attainment *

YesNo

I have attached a copy of Streatrader permit *

YesNo

I have attached a certificate of currency for public liability insurance (minimum $10 million) *

YesNo

I have read, understood and will comply with the attached COVIDsafe Plan *

YesNo

Stallholder Agreement

I have read and understood all terms and conditions and have retained a copy for my records.

If my application is approved, I agree to comply with all terms and conditions outlined for the Mount Waverley Village Market.

Applicant’s Name *

Signature *

Date *

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