Blacktown Arts Market Application Form

Name:

Address:

Suburb:

State: Post Code:

Phone No:

Email:

Please select if appropriate:

Aboriginal or Torres Strait Islander background From a migrant background

Description of work to be sold.

Please tick below the type of art/craft works you wish to sell.

Paintings

Ceramics

Sculpture

Mosaics

Handmade Jewellery

Wood work

Glass

Knitting/Crochet

Printmaking

Basket weaving

Other (please specify):

Please complete the table below.

Item	Cost	Quantity	Total
Booking Fee (site only)	$10		$0
Booking Fee covered site	$30		$0
Easel	$2		$0
Table	$5		$0
		Total	$0

I hereby agree to the following conditions: (Please select)

That as a stallholder at Blacktown Arts Market, I will take every precaution to display my stall items in such a manner as to avoid tripping risks or other hazards to myself, other stallholders, or any members of the public.

I recognise that Blacktown City Council will not take responsibility for any loss or damage to any of my stall items and that I display items entirely at my own risk.

I give my consent for Blacktown City Council to take photographs of my stall and my display items, and that they may be used in Council documents, or for promotional and educational purposes. I understand that as part of this agreement I am unable to seek payment from Blacktown Arts Centre or Blacktown City Council for publishing of the images.