Food Truck Retailer Application Form
Please complete in full and
return this Form and
attachments as required to:
Jodi Potts – Property Management Department
08 9 474 6662
PERTH CULTURAL CENTRE
MOBILE FOOD VAN APPLICATION FORM
Parties interested in occupying space within the Elizabeth Quay and Perth Cultural Centre for the use of mobile food vans, carts and marquees.
Operators are required to provide information indicating their interest.
1. COMPANY Details:
PROPOSED LICENSEE/S:
Company Name:______
Name of Director: ______
Address:______
Contact Details:
Business Phone:______
After Hours Phone: ______
Mobile Phone:
Email Address:
Name of Director______
Address:______
Contact Details:
Business Phone:
After Hours Phone:
Mobile Phone:
Email Address:
1. COMPANY Details (contd.)
§ Please provide details of any guarantors.
2. Overview of Business:
Please provide a detailed overview of your proposed business for this tenancy.
§ Describe how your business concept will complement the surrounding retail and add to the overall vision for the Perth Cultural Centre precinct.
§ Provide examples of possible menu items and any other offering which reflects your proposed concept. Please include details of your pricing range.
§ Provide detailed information on the following:
§ A. Electricity Requirement (limited to 2 x 15 amp connections)
§ B. Storage of Water
§ C. Storage of Waste Water
§ D. Rubbish Removal Management Plan
§ E. Storage of Gas Bottled
§ F. Location and height of exhaust canopies.
§ G. Provide photos/plans of the mobile food van/vehicle, cart or marquee.
H. Confirmation you have cable tray to run your power extension cords through.
I Confirmation you have had all portable equipment tagged and tested.
§ What are your proposed opening hours:
Mon ...... to ......
Tues ...... to ......
Weds ...... to ......
Thurs ...... to ......
Fri ...... to ......
Sat ...... to ......
Sun ...... to ......
3. Experience & Personnel
Please provide a detailed overview of your experience relevant to the food and beverage industry, with reference to the following;
§ Information on locations which you have been and are currently involved in. Provide information on your role and length of time at each location.
§ Detail your experience in operating from a kiosk / similar site?
§ Provide an overview on how you intend to staff the offering.
§ Are you an investor or independent operator?
4. Design & Fit-out
§ Outline and provide photos of design and fit-out of your van, cart or marquee. Where possible, include a design brief and photos.
§ Please provide a list of your proposed equipment and the electrical draw / loading of each appliance.
§ Please confirm the total electrical loading requirements for your proposed business.
5. Marketing
Provide an overview of key marketing activities you propose to undertake to support the business.
6. FINANCIAL
– Assets and Liabilities Statement
Please complete as at today’s date.
ASSETS / LIABILITIESCurrent / Current
Cash at Bank / Bank Overdraft
Other / Credit Card
Other
Non-Current / Non-Current
Properties (include address details) / Mortgages (include address details)
1.
2.
3.
Motor Vehicles / Motor Vehicle Finance
1. / 1.
2. / 2.
Other Assets / Other Liabilities
Furniture / Bills Payable
Chattels / Other
Other
TOTAL / $ / TOTAL / $
NET WORTH / $
7. CHECKLIST
· Proposed Licensee (1) Drivers Licence number:
Copy of drivers licence attached (Please Tick)
· Proposed Licensee (2) Drivers Licence number (If applicable):
Copy of drivers licence attached (Please Tick)
· Sections Completed:
1. Company Details
2. Overview of Business
3. Experience and Personnel
4. Design and Fit out
5. Marketing
· Statement of Assets and Liabilities Completed (Please Tick)
· Attachments Required
1. Business & Public Liability Insurance Policy
2. Certificate of Registration of Food Business
3. Photos of Food Van, Cart or Marquee
4. Evidence of portable equipment electrical testing and tagging