Business Name

Trading Name

First Name

Last Name

ABN/ACN

Email Address

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Home Phone

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Fax

Your Own Produce

Your Sourced Products

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 requiredYesNo

Attendance Attendance WeeklyFortnightlyMonthly

First Date

Parking Requirements Parking RequirementsCarCar & TrailerTruck

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