| 2009 MARKET DATES |
Site Fees: All sites 4m x 4m unless advised otherwise
General Stallholders: $47 per site
Charities and Community Groups: $35 per site
All power leads have inspection tags attached $20 per lead
Product and Public Liability: Copies of Certificate of Currency must be attached
Food & Wine Stalls: Copies of Alcohol permits, and food selling approvals from the
Mansfield Shire Council (03 5775 8555) must be attached.
Name…………………………………………Trading as…………………………………
MANSFIELD BUSH MARKET INC.
MARKET BOOKING APPLICATION FORM FOR 2009
Market Telephone No: 0417 118 103
Market Time: 9am – 3pm
Address……………………………………………………………………………………
……………………………………………………………………Postcode………………
E-mail……………………………………………………phone : (……)…………………
Mobile No:…………………………Type of goods………………………………………
Australia Day Weekend : Saturday 24 th January. 2009. Highett Street. Closing date 30 th December 2008
Stall Fee Enclosed: $………………………………..
Powered Site Fee Enclosed: One Lead $…………Two Leads $…………Three Leads $…………
Total Fee Enclosed: $………………………Site No:……………………Invoice No:…………..Office Use Only
Easter Saturday: Saturday 11 th April. 2009. Highett Street. Closing date 10 th March 2009
Stall Fee Enclosed: $………………………………..
Powered Site Fee Enclosed: One Lead $…………Two Leads $…………Three Leads $…………
Total Fee Enclosed: $………………………Site No:……………………Invoice No:…………..Office Use Only
Queens Birthday : Saturday 6 th June. 2009. Highett Street. Closing date 5 th May 2009
Stall Fee Enclosed: $………………………………..
Powered Site Fee Enclosed: One Lead $…………Two Leads $…………Three Leads $…………
Total Fee Enclosed: $………………………Site No:……………………Invoice No:…………..Office Use Only
Melbourne Cup Weekend : Saturday 31st October. 2009. Highett Street. Closing date 30th September 2009
Stall Fee Enclosed: $………………………………..
Powered Site Fee Enclosed: One Lead $…………Two Leads $…………Three Leads $…………
Total Fee Enclosed: $………………………Site No:……………………Invoice No:…………..Office Use Only
Total fees Enclosed $………………………..Cheque/Cash/Money Order (please circle)
I Agree to comply with the rules of the Mansfield Bush Market Inc.
Signed ………………………………………………………………..
Please include a stamped self-addressed envelope for return of Receipt and Site Plan
Mansfield Bush Market Inc.PO Box 476,Mansfield.Victoria 3724