Rockhana: Gem, Mineral and Mining Field day Stall Holder Registration Question Title * 1. Stall Holder Details Full Name Postal Address Suburb State Postcode Phone number Email Address Question Title * 2. Please select the type of vendor you are Food/drink Vendor Market Stall Gem or Rock Display Mining Display Business Display Community Group Question Title * 3. Please provide your Stall Details**Each nominated stall will be allocated one site space only (3mx3m). The stall holders are to bring all equipment etc. chairs and tables, marquees, signage. Name of stall Please provide your stall measurements Are there any special requirements for your stall? **Please note: Power and water is very limited and may not be able to be provided. Question Title * 4. Do you have public Liability insurance? Yes No Done