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Lockie’s Legacy
Stall Application Form
Stall Details
Stall Name:
Address:
Town/City:
State:
Post Code:
Email:
Website/Facebook:
Phone:
Mobile:
Public Liability Insurance
We require a copy of your current certificate to accompany your stall application.
Name of insurance provider:
Policy Number:
Expiry Date:
Payment Method
Cheque: made payable to Mater Foundation – Lockie’s Legacy
Visa/Mastercard:
Name on Card:
Card Number:
Expiry Date:
CSV:
Site Details
Market Stall Site size: 3x3 - $30
3x6 $50
Other – Please specify:
Food Stall: $200
Please Note forms can be returned to Lockie’s Legacy 274 Homebush Rd Greenup Qld 4387
or email to tamara@lockieslegacy.com. Call 0437 818 301 to book a stall, payment on the
day will be accepted. We look forward to seeing you there!
Tamara Altmann 0437 818 301
Jacinta Willis 0417 716959
Address: 274 Homebush Rd GREENUP QLD 4387
Lockie’s Legacy: Fundraising for the Mater Mothers Neonatal Critical Care Unit
Lockie’s Legacy
Stall Application Form
Public Address Advertising
During Lockie’s Legacy Family Day we are able to assist you in promoting your
stall/business/products over our public address network. We invite you to take this
opportunity to complete this form and have it returned to us by the 1st May 2014.
PA Copy
Event Competitions/Promotions
This public address copy is true, correct and authorised by:
Name:
Date:
Phone number:
Signature:
Tamara Altmann 0437 818 301
Jacinta Willis 0417 716959
Address: 274 Homebush Rd GREENUP QLD 4387
Lockie’s Legacy: Fundraising for the Mater Mothers Neonatal Critical Care Unit