STALL APPLICATION FORM MARKETS BY PINO TAU MEDIA 2019

Particulars of Applicant

Stall Name*

Applicants Name*

First Last

Applicants Age

Registered Name Of Business*

Email*

Please enter your Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please enter your Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Number*

Alternative Contact Number

Do you have a valid tax clearance certificate?*

Yes
No

What Do You Sell?*

Please specify with product list and prices. You can also attach a price/product list at the end of the form.

Food

If you intend on selling food,do you have a food acceptability certificate from the Municipality?

Yes
No

Are you a student, graduate, employee or self employed? where?*

How many years have you been conducting business?*

Do you operate on a full time or part time basis*

Full Time
Part Time

How many people do you employ*

Do you have a valid bee certificate*

Yes
No

Why do you want to be apart of the market at the flamingo casino*

Where did you hear about the market*

Terms*

You know and confirm that this application does not guarantee you a stall. For any further queries you can send an email to info@pinotau-media.co.za or call 071 580 4767

I Agree

DOCUMENT UPLOAD

Please upload supporting files and documentation such as price lists and product photos here.

Drop files here or

Max. file size: 20 MB.

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