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asl;a;sdl;adslds;ald;lds;lads;-VictorHarborFarmersMarket.doc

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asl;a;sdl;adslds;ald;lds;lads;-VictorHarborFarmersMarket

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? ? make a ‘staple’ household product ie bread that is particularly unique and

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