Business Name

Trading Name

First Name

Last Name

ABN/ACN

Email Address

Postal Address

Production Address

Home Phone

Work Phone

Mobile Phone

Fax

Your Own Produce

Your Sourced Produce

Stall Size Stall Size3 x 3 meter stall with car $1213 x 3 meter stall $77Single table $66Large Stall required POA

Powered site required Powered site required YesNo

Attendance AttendanceWeeklyFortnightlyMonthly

First Date

Parking Requirements Parking RequirementsCarCar & TrailerTruck

Website

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