* Please note: these fields are compulsory. Please give us as much information as is possible to enable us to process your application.
Name :	*
Street Address:	*
City / Town	*
Postcode	*
Phone	Home * Work
	Mobile
Fax	Home Work
Email	*
Size of area required	*
Position Required	* Indoors/Outdoors/Under Marquee
Number of Trestles Required	*
Setup Time (Please Tick Preference)	Friday Afternoon (1.00- 4.00) Friday Evening (5.00- 8.00)
Please note: onsite security is provided from Friday evening until Sunday evening.
Do you require power?	Yes No	Do you require water?	Yes No
Site Fee will be given on application. Cheques made payable to Apex Club of Latrobe and to be deposited within seven (7) days of submitting application form. Receipts will be issued only after receiving site fees.
What is your stall name?	*
	Trading *If you intend to sell items or services.
	Display *No site fee if not selling.
What is your display?	*
Additional comments or questions?