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Stallholder Form - Spring Fair

COVID-19

These events are subject to change or cancellation – check the City website and social media pages closer to the event. We recommend downloading the COVID app and adhering to social distancing while attending events. If you feel unwell or are showing symptoms please seek medical advice and do not attend these events.

This information is available in alternate formats on request. Accessible events, contact us for details. All our events are smoke and drug-free.

Applications close 17 October 2021

Print Blank Form

Stallholder Form Spring Fair

All fields are required except where indicated

Organisation details

Organisation / community group name:

Address:

Note: street number and street name are needed for all addresses

Business hours landline (e.g. 08 9500 1234 - optional):

After hours landline (e.g. 08 9500 1234 - optional):

Contact details

Title (select from the drop box below - optional):

First name:

Surname:

Mobile (e.g. 0400 123 456):

Email:

Stall details

Type of Stalls:

Food or DrinkOther

If you selected 'other' please specify e.g. crafts / information etc

If yes, you will need an Approval for a temporary food premises request approved from City of Cockburn Health Services.
No food permit will be accepted after Monday 17 October 2021

Items for sale:

Please list items for sale

Public liability insurance cover:

YesNo

Do you have Public Liability Insurance? (It is a requirement that all stall holders have insurance.) If not, you agree to arrange cover at a cost of $20. If yes, please submit a copy of the Certificate of Currency with this form

Public liability insurance file:

Requirements

Requirement	Description	Cost	No. of Units	Total
Public Liability Insurance	Arranged by Fair Committee	$20 per applicant		$0
Size of Site (Frontage)	Multiples of 3m (3m, 6m, 9m etc)	$50 per 3m of frontage (eg 4m frontage=$100)		$0
Marquee Only (Does not include site cost)	3m x 3m (erected)	$145 per marquee		$0
Marquee Only (Does not include site cost)	6m x 3m (erected)	$195 per marquee		$0
Power	15Amp power lead to site	$50 for 1st lead $30 each extra lead		$0
Late Fee (after 4/10/19)	NO late food applications accepted	$25		$0
Total Cost

Van / trailer provision:

YesNo

Will you have a van?

Van length (m):

Please note this also includes the draw bar and tow hitch

Payment details and declaration

Payment Method:

Cheque
Money Order
Bank Transfer

Details on how to pay for your selection will be emailed to you on submission of this form.

I have read and understood the "2019 Cockburn Rotary Spring Fair Conditions" and agree to abide by them:

I have read and understood terms and conditions.

View the Cockburn Rotary Spring Fair Terms and Conditions.

For more information contact Robyn on 0407 689 131

Related Pages

Contact

Telephone: 08 9411 3444
CoSafe: 1300 26 72 33
Email: customer@cockburn.wa.gov.au
National relay service: 13 36 77
(ask for 08 9411 3444)
ABN number: 27 471 341 209

Address

9 Coleville Crescent,
Spearwood 6163

PO Box 1215, Bibra Lake DC,
Western Australia, 6965

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

Language Support

Social Media

Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaadatj dayin boodja, kep wer malayin. Ngalak kaadatj koora koora wer yeyi ngalang birdiya.

City of Cockburn acknowledges the Nyungar people of Beeliar boodja. Long ago, now and in the future they care for country.
We acknowledge a continuing connection to land, waters and culture and pay our respects to the Elders, past, present and emerging.