Please return this form to: The White House, Hockliffe Street, Leighton Buzzard, LU7 1HD Tel: 01525 631920 Email: [email protected] Website: www.leightonlinslade-tc.gov.uk Website: www. Market Trader Application – Food. The Application process is managed by Leighton-Linslade Town Council and is designed in line with the Town Councils policies. Applicant Information Title: Full Name: Trading Name: Address Town/City: Post Code: Telephone: Mobile: National Insurance number: E-mail address: Website: Other markets currently attending: (include town, days, type of market and market officer contact details): Trading Information Please tick all applicable trading days: Tuesday: Saturday: - For specialist markets please see relavant packs. Please tick level of application: Permanent: Casual: Description of food/ produce to be sold: (Please provide as much detail as possible, list of products and photos.) Market trader application form - Food Please return this form to: The White House, Hockliffe Street, Leighton Buzzard, LU7 1HD Tel: 01525 631920 Email: [email protected] Website: www.leightonlinslade-tc.gov.uk Your Requirements Website: www. Size of pitch required (in ft): LLTC Stall required: Yes No If so how many: Stalls cost £5 a day per 8x4 ft unit. Any other requirements: Traders Risk Assessment Questionnaire # Item 1 (If providing your own stall) is the stall a solid 1 piece unit (gazebo etc.)? 2 (If providing your own stall) is the stall made of several parts? 3 (If providing your own stall) is the stall erexcted and maintained according to manufacturers instruction? 4 (If providing your own stall) are any parts of the stall damaged or broken? 5 (If providing your own stall) when erected does the stall form a solid structure? 6 (If providing your own stall) if a canopy is used is it in good order and condition? 7 (If providing your own stall) how many people does it take to build the stall? 8 (If providing your own stall) when the stall is fully erected does it remain in the boundary/pitch allocated by the council? Market trader application form - Food Yes No N/A Notes Please return this form to: The White House, Hockliffe Street, Leighton Buzzard, LU7 1HD Tel: 01525 631920 Email: [email protected] Website: www.leightonlinslade-tc.gov.uk 9 Do you have suficent measures for securing the stall against windy conditions? Website: www. 10 If tables/stands etc. are to be used in conjunction with the stall are they in good and safe conditon? 11 Does your stall require a fire extinguisher? 12 Do you require electricity supply to your stall? 13 Do you use a generator with your stall? 14 If you generator is fuel powered where do you store the fuel? 15 If your outlet requires personal food hygiene certificate(s) do all serving staff posses this (all copies to be provided to the Council)? 16 Does your outlet require bottled gas supply? 17 Are the regulators checked and fit for purpose? 18 Do you posses a Gas Safe certificate for gas appliances? 19 Are all 240v electrical items PAT tested? If you are unsure in answering any of the above please call the Market Manager (07812 088116). For office use only Market trader application form - Food Please return this form to: The White House, Hockliffe Street, Leighton Buzzard, LU7 1HD Tel: 01525 631920 Email: [email protected] Website: www.leightonlinslade-tc.gov.uk Website: www. Additional Information Please ensure you supply the below information. A market licence can not be offered without the following: Attach a copy of: Public Liability Insurance (£5m Cover). Including, cover certificate and policy number, and employee liability if applicable. Please also bring original copy on the day. Attach a copy of: Food Hygiene Certificate Attach a copy of: PAT test certificates or recipts of recent purchases for all electronic equiptment. (if applicable) Attach a copy of: Photographs or links to photographs online of wares. Disclaimer and Signature. I certify that the information provided is true and complete to the best of my knowledge. If this application leads to a market stall, I understand that any breach in Market Rules and Regulations can result in my licence with Leighton-Linslade town Council being terminated. These contact details are those which will be used in the event the market has to be closed/cancelled thus it is in your interest to ensure these are kept up to date. For further information regarding Leighton-Linslade Town Council closed market policy please refer to the FAQ’s. Signature: Print Name: Date: ____ / ____ / _______ (dd/mm/yyyy) For office use only Market trader application form - Food
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