Application for Regular Status

This form is for a casual stallholder who has attended the markets on five consecutive occasions, and wishes to become a regular stallholder with a permanent site allocation.

Note that casual stallholders can only become regular stallholders if a suitable site is available. If no site is available, this application will be held until a site does become available.

General Details

Stall Name:

Stallholder's Name:

Stall Details

Attendance Mode:

Number of consecutive attendances at the markets:

Site Requirements

How many of each of the following to you require?

Standard Site (2.8m frontage x 6m):

Walkway Site (2.8m x 6m [8.8m frontage]):

Standard Site (2.8m frontage x 7m + park your car behind):

Row Top Site (4m x 6m [min 10m frontage]):

Large Site ([Disabled car space] 4.2m frontage x 6m):

Total:

Special Requirements

I have my own shade tent/gazebo

I do not want a pole in back/centre of a double site

I require use of Rotary umbrella

I require use of Rotary table

I require use of power

I have other requirements

Other Requirements:

Total:

Electrical Requirements

Please state how many of the following items

Lights up to 80w:

Lights over 80w:

Fan:

Other small appliance:

Other (Details):

Computer:

TV:

Video/DVD:

Other medium appliance:

Other (Details):

Total:

Please ensure that you have supplied all necessary information. Any applications not completed in full may not be accepted.

I / We agree to abide by the decision of the Willows Rotary Markets in relation to my application.

I / We, agree to abide by the Rules & Guidelines of the Willows Rotary Markets, Thuringowa City Council, Queensland Government and understand that my licence to trade may be withdrawn if these Rules & Regulations are breached by stallholders or their workers.

Applicant's Name:

I agree to the above statement.

Date of Agreement:

Co-applicant's Name:

I agree to the above statement.

Date of Agreement:

Application for Regular Status

General Details

Stall Details

Site Requirements

Special Requirements

Electrical Requirements

Comments: