Name* First Last Business details*Business nameLocation of farm/businessABN/ACNAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Website How would you classify yourself?* Farmer Grower Producer Artisan Value Adder What produce and/or products do you wish to sell?*RegularSeasonalOther To add more produce/products, please click the + on the above right hand side.If you are an Artisan/ Value-Adder, please advise how your product is made and where the ingredients come from. How often do you intend to come to the markets? Weekly Fortnightly Once a month If your application is approved, when do you intend to start at the market? Power needsWe have limited power. Please confirm your power needs below.Do you require power?* Yes No If known, please state your power requirement in AMPS. Documents we need from youDo you have Public and Product Liability Insurance?* Yes No Insurance is mandatory to a minimum of $10 million.If you answered yes, please confirm:Insurance CompanyPolicy NumberExpiry datePlease upload an electronic copy of your insurance certificate. of currency.Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 128 MB.If you do not have an electronic copy, please provide a copy if your application is approved.Do you have a NSW Food Authority Registration?* Yes No All stallholders require this registration.Please provide your NAFSIS number Do you have a Tweed Shire Council Market Permit?* Yes No Please upload an electronic copy of your Tweed Shire Council Market Permit.Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 128 MB.If you do not have an electronic copy, please provide a copy if your application is approved.Do you have a Food Supervisor Certificate or Certificate 111 in Food Handling Hygiene ( or its equivalent)?* Yes No This is only a requirement if you wish to sell added value produce like seed oils or coffee. Please upload an electronic copy of your relevant Food certificate.Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 128 MB.If you do not have an electronic copy, please provide a copy if your application is approved.If you are a farmer or grower, please provide a copy of land rates notice for the land upon which you farm.Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 128 MB.If you do not have an electronic copy, please provide a copy if your application is approved.Is your produce or product certified organic?* Yes No Please fill out your certification details.Certifying OrganisationCertification NumberPlease upload an electronic copy of your organic certification.Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 128 MB.If you do not have an electronic copy, please provide a copy if your application is approved.If you are accepted by the CFMM committee, you can only commence at the market once your paperwork is complete. Please contact the market manager if you have any questions.
