EXPRESSION OF INTEREST FORM

I would like to register my interest for a stall site at the Victor Harbor Farmers’ Market.

(Please note: This is only an expression of interest and does not guarantee that you will be offered a stall site nor does it commit you to taking up an offer of a stall site.)

Company Details:

Name of Stall Applicant:

Registered Business Name: ABN:

Property Address:

Mailing Address:

Telephone: Mobile:

Fax: Email:

Who would attend the market on a regular basis:

Please tick and give names if possible to forecast:

£ Owner: £ Grower:

£ Family members involved in the business:

1/

2/

£ Hands-on staff members and their role in production:

1/

2/

£ Other

1/

2/

Details of Proposed Stall:

I would like to have a site: Every week Fortnightly Once a month Other

Please provide a brief description of your proposed stall. Applicants are encouraged to attach sketches and/or photographs with this form.

Do you participate in farmers’ markets elsewhere in South Australia? £ Yes £ No

Which one/s?

Details of Produce Offered for Sale:

Are you certified organic by an accredited organization?

Certified Organic Certified Bio-Dynamic IPM System Other


ALL APPLICANTS TO COMPLETE THIS SECTION PLEASE:

And note that the sections in bold type need to be completed as requested.

Please outline (in detail) the range, varieties and seasons of produce you propose to bring:
Just ‘vegetables’ ‘jams’ or smallgoods’ for example is not sufficient. Please provide information regarding your range & seasonal changes (obviously approximate) / Spring:
Summer:
Autumn:
Winter:

ALL VALUE ADDERS/PROCESSORS/MANUFACTURERS/FOOD VENDORS

What proportion of your ingredients do you grow? (0%-100%) / ……….%
If you do not grow your ingredients, why would you be at a farmers’ market?
Do you? / o make a ‘staple’ household product ie bread that is particularly unique and not widely available
o make other handmade products on a small scale that are particularly unique and not widely available
o support other stallholders or local growers directly
o support a local community group with your stall
o have a distinctly traditional/cultural reason for your product…
Where do you source any other ingredients?
Please provide a list of any other suppliers / Other stallholders %
Growers in your area %
Wholesale fruit & veg/fish market %
Distributor/supermarket %
Other………………………… . %
………………………… %
How much of your content is from interstate %
or imported %
Would you like another Market Stall Holder to sell your product: Yes / No


Power:

Access to power is extremely limited at all markets and can only be provided to meet health regulations or if absolutely necessary.

Do you require access to power?* Yes ¨ No ¨

Is your equipment tagged and tested Yes ¨ No ¨ Date of last testing ………….

Please detail equipment & amps required. All equipment must be tagged & tested or the site

management will do so and charge you for it.

Do you have a generator? Yes ¨ No ¨

Is it silent? (We mean really silent!) Yes ¨ No ¨

Vehicle:

Do you require a vehicle at the stall? Yes o No o

Do you need the engine on during the market? Yes oWhy?...... No o

Please provide details of vehicle, including dimensions and why you need it:

Statement:

I understand that I will be responsible for any fees incurred as a result of inspections from any government bodies.

I agree that I am responsible for the full stall fee in the case of bad weather and leaving the market early.

I understand that the person/s manning the stall must have a genuine association with the production of food.

I comply with the principles of Victor Harbor Farmers’ Markets and I have kept a copy of my application as a record of my acceptance of the conditions if I am accepted.

Signed ______

Date ______

PLEASE COPY AND POST TO:

Victor Harbor Farmers Market Coordinator, PO Box 1967, Victor Harbor SA 5212

OR EMAIL TO

Applicants Please Note the Following Conditions

On your acceptance of a site offered by the Committee of VHFM Inc. you will be required to enter into a mutual agreement as set out in the Victor Harbor Farmers’ Charter that will be forwarded to you on confirmation of your participation in the market.

The Victor Harbor Farmers Market, at all times, reserves the right to refuse any of the above products for sale at the market or not to accept this expression of interest.