| 2010 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
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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 2010
Market Telephone No: 0417 118 103
Market Time: 8am – 2.30pm
www.mansfieldbushmarket.com.au
Address……………………………………………………………………………………
……………………………………………………………………Postcode………………
E-mail……………………………………………………phone : (……)…………………
Mobile No:…………………………Type of goods………………………………………
Australia Day Weekend : Saturday 23rd January. 2010. Highett Street. Closing date 30 th December 2009
Stall Fee Enclosed: $………………………………..
Powered Site Fee Enclosed: One Lead $…………Two Leads $…………Three Leads $…………
Total Fee Enclosed: $………….....…Office Use Only.......................Site No:……………………Invoice No:…………..
Easter Saturday: Saturday 03 rd April. 2010. Highett Street. Closing date 10 th March 2010
Stall Fee Enclosed: $………………………………..
Powered Site Fee Enclosed: One Lead $…………Two Leads $…………Three Leads $…………
Total Fee Enclosed: $………………Office Use Only...........………Site No:……………………Invoice No:…………..
Queens Birthday : Saturday 12 th June. 2010. Highett Street. Closing date 5 th May 2010
Stall Fee Enclosed: $………………………………..
Powered Site Fee Enclosed: One Lead $…………Two Leads $…………Three Leads $…………
Total Fee Enclosed: $………………Office Use Only..........………Site No:……………………Invoice No:…………..
Melbourne Cup Weekend : Saturday 30th October. 2010. Highett Street. Closing date 30th September 2010
Stall Fee Enclosed: $………………………………..
Powered Site Fee Enclosed: One Lead $…………Two Leads $…………Three Leads $…………
Total Fee Enclosed: $……………Office Use Only..........…………Site No:……………………Invoice No:…………..
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