APPLICATION FORM
Council of the City of Gold Coast
ABN 84 858 548 460
PO Box 5042 GCMC QLD 9729
P 1300 CBD Team (1300 223 832)
F 07 5596 3653
E cbd@goldcoast.qld.gov.au
W cityofgoldcoast.com.au
Gold Coast Chinatown Street Markets
Please fill out the details requested and return to Gold Coast CBD Office: cbd@goldcoast.qld.gov.au
CONTACT DETAILS (Primary)
Please use BLOCK LETTERS and complete all details in full
Stallholder’s Name:
Stall Name:
Mobile:
Email:
CONTACT DETAILS (At Event)
Name:
Mobile:
STALL INFORMATION
Type of cuisine:
(Cuisine must be Asian
inspired)
Merchandise/Service
Type (Preference will be
given to Asian inspired
merchandise and services)
List packaging used
(Only biodegradable
packaging is to be used)
Sustainability
Credentials if
applicable
Equipment
AMPs required
Power Consumption:
(List all equipment and what
the AMP requirements are.
20 amps are included in the
cost of the site, every
additional amp required is
charged $1/amp)
Tested and Tagged
 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No
Total AMPs required
State the AMPs required to power your site – failure to do so, will result in your application not being
considered for approval. All electrical equipment to be tagged and tested.
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SITE REQUIREMENTS
Amount of bump in time required
List any additional requirements
if applicable.
INDICATION OF INTEREST
Please note you will be required to pay in full, in advance if you wish to register for the three upcoming markets. Fees are non-refundable.
November
October
December
Fees are only payable once your application has been approved
Note: Fees to be paid one week prior to your market day. Please state your name, stall name, account number 99309, amount owing and
‘Chinatown Street Markets’ on the payment.
Payment options (Note: Please be advised that payments by credit card will incur a surcharge of 0.60%)



Cash, cheque or credit card at any of the City’s branch offices. For branch office locations and operating hours, please refer to our website.
Cheque or money order – make payable to: City of Gold Coast Council. Postal address at top right of first page.
Please ensure that you provide adequate reference details or attachments to allow the cheque to be appropriately receipted.
Fees are non-refundable
Fee name
Account number
FOOD Site
No of Sites
MERCHANDISE Site
Power
October
Total amps:
No of Sites
Fee amount
Chinatown Account: 99309
$150 (incl. GST) per 3x3m site
Chinatown Account: 99309
$75 (incl. GST) per 3x3m site
Chinatown Account: 99309
$1 (incl. GST) per amp over the
allocated 20 amps per site
November
December
TOTAL
SUPPLIER / CONTRACTOR CONFIRMATION
Supplier / Contractor Confirmation:
Please tick boxes and to confirm attendance and acceptance of the general terms and conditions as set out in
Market Stallholder - Conditions for Access and Use of Council Road Reserve in Gold Coast Chinatown,
Southport (available on request).
I have read, understand, and agree to adhere to the recommendations and regulations within the
attached Market Stallholder Terms and Conditions, Supplier Temporary Structures Policy if applicable
I have provided a copy of my Gold Coast City Council Approved Temporary Food Premises Licence
(attached), and any relevant Risk Assessments and Safety Procedures that will be administered for the
equipment/service I am providing.
I have provided a copy of my Public Liability Insurance Certificate of Currency ($10million
minimum)
Name __________________________________________________
Date ____________________
Privacy statement
Council of the City of Gold Coast is collecting your personal information in accordance with Local Government Act 2009 in order to manage the Chinatown Asian
Food Market. The information will only be used by authorised officers for the purpose of managing the Chinatown food markets. Your information will not be given
to any other person or agency unless you have given us permission or we are required or allowed to by law.
Office only
Date received
Fee paid
Received by
Receipt number
Business name
Account number
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Business number
AMS code
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