Online Form - Stall Application Form » Coolgardie Shire Council

Stall/Business Name*

Contact Name*

Email*

Mobile*

ABN

What are you selling?*

Food/DrinksBusinessCommunity GroupNot for profit

Do you have Public Liabilty insurance?*

Yes (please attach a copy of current policy with your application)
No (please provide written request to be covered under the Shire of Coolgardie Market Insurance)

Attach your Public Liability Insurance here.

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Do you have a Food Licence?*

Yes (please attach a copy of food licence with your application)
No (we will send you a Shire application to provide with the stall form asking for approval)

Please attach a copy of your food licence with your application.

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Do you have a current COVID19 Plan? (Food vendors only)*

YesNo

Please provide an overview of the food you wish to serve to enable the Shire to ensure a mix of food offerings is provided at the event.*