2023 F.O.O.D Week – Sunday Producer’s Market and Brunch Stallholder Application 2023 F.O.O.D Week - Sunday Producer's Market and Brunch Stallholder Application Form Step 1 of 7 14% Event Overview The F.O.O.D Week Committee is calling for Expressions of Interest from producers of both food and wine to join us for this year's 2023 F.O.O.D Week Sunday Producer's Market and Brunch. The F.O.O.D Week Sunday Producer's Market and Brunch is on, Sunday 2 April at Cook Park, the last day of the annual 10-day festival, from 8.30am-12.30pm. The event offers local foodies, chefs and producers the opportunity to cook up a storm and have their seasonal produce and food and wine available to sample and purchase. Prior to completing your online application, please note the following important information; - Spaces are limited and applications will be taken on a first-in, first-confirmed basis. - Payment of the site fee is required with your application along with your valid Public Liability Certificate of Currency, listing Orange City Council as an interested party, and Current Orange City Council Temporary Food Permit Certificate. - Application close on Tuesday 28 February 2023. Please contact Mali Williams for further information, mali@orange360.com.au. F.O.O.D Week Event Participation Criteria In order to participate in an event run by F.O.O.D Week, we have developed Participation Criteria to assist with processing applications. Please read this criteria carefully. Terms and Conditions Click here to read the for full Terms and Conditions. As part of the terms and conditions to place an event in the program a business will need to be a member of F.O.O.D Week Inc, ORVA or Orange360. Terms and Conditions agreement* Yes, I have read and agree to the terms and conditions Event Overview and Participation Criteria* Yes, I have read and agree to the event overview and participation criteria F.O.O.D Week Inc, ORVA or Orange360 membership* Yes, I am a current financial member of F.O.O.D Week Inc Yes, I am a current financial member of ORVA Yes, I am a current financial member of Orange360 GENERAL CONTACT / BILLING DETAILSIf we have any questions about your booking, we will contact the person belowBusiness Name* Stall Name* Please ensure correct wording, as this will be used on your stall signEmail Address* Contact Name* Business Address* Street Address Suburb State Postcode STALL REQUIREMENTS AND COSTSPlease tick the relevant box/price below based on what size stall you require and which organisation you are a member of (prices include GST): Failure to select the correct membership and incorrectly receiving the member discount will result in your booking being unsuccessful and a 50% administration fee to process your refund. F.O.O.D Week Inc - Business Member PricingF.O.O.D Week Business Member - Single Stall Quantity Price: $ 100.00 Quantity F.O.O.D Week Business Member - Double Stall Quantity Price: $ 200.00 Quantity ORVA or Orange360 - Member PricingNon-Member - Single Stall Quantity Price: $ 150.00 Quantity Non-Member - Double Stall Quantity Price: $ 300.00 Quantity Total $ 0.00 ADDITIONAL STALLHOLDER CHECKLIST ITEMSWhat are your power requirements at the event?* 10 amp 15 amp Other - please specify below No power required Other Power requirements If you intend on using power at the event - what will it be used for (please list equipment items here): If your leads are not tested and tagged, a licensed tester and tagger must be contacted to test and tag each lead requiring a tag. Do you intend on using LP Gas to cook with at the event?* Yes No If yes – please see Section 12 of the Terms and Conditions. If you intend on using LPG gas at the event - what will it be used for (please list equipment items here): Do you require a site with car parking to sell your produce?* Yes No Do you require temporary access at bump-in to unload your produce?* Yes No N/A PUBLIC LIABILITY, FOOD PERMIT AND RSA LICENCINGPlease upload copies of your Public Liability Certificate of Currency listing Orange City Council as interested party and your current Orange City Council Temporary Food Permit certificate. Note: expired certificates and permits will mean your application will not be successfully submittedPublic Liability Certificate of Currency listing Orange City Council as interested party*Accepted file types: pdf, jpg, Max. file size: 128 MB.Accepted file format - PDF / JPGOrange City Council Temporary Food Permit Certificate*Accepted file types: pdf, jpg, Max. file size: 128 MB.Accepted file format - PDF / JPG. If you are a producer of items other than food or beverages (i.e. flowers) and do not require a food permit, please upload a blank page.If your stall will be serving alcohol, do all your staff hold current RSA licences? Yes No STALL OFFERING / MENUPlease list all menu items you intend to serve. Be as specific as possible with regards to provenance and where you have sourced the local produce from. *NOTE: Only items listed can be sold, sale of unlisted items is not permitted.Item 1 Item 2 Item 3 Item 4 If you have more 4 items, please list all below: Total $ 0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name Credit CardCard Details Cardholder Name Please Note: It may take 10-20 seconds while your credit card is being processed. 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