| Licence type* |
Please choose a licence type |
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Applicant details (individual, company or organisation) |
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| Given names* |
Invalid Input |
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| Surname* |
Invalid Input |
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| Company name (if relevant) |
Invalid Input |
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| Postal address* |
Invalid Input |
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| Postcode* |
Invalid Input |
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Contact details |
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| Given name(s)* |
Invalid Input |
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| Surname* |
Invalid Input |
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| Role |
Invalid Input |
(e.g. manager, sales person etc) |
| Daytime phone* |
Invalid Input |
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| Mobile |
Invalid Input |
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| Email* |
Please enter a valid email address |
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Trading details |
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| Trading name/street stall name |
Invalid Input |
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| Item/s you want to sell |
Invalid Input |
Note: If you want to sell food for human consumption, please specify the type of food |
| Trading times |
Invalid Input |
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| Start date |
Invalid Input |
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| End date |
Invalid Input |
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Note: Bookings may not be for longer than five consecutive days. |
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| Town* |
Invalid Input |
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| Location* |
Invalid Input |
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| * |
Invalid Input |
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| Confirming you are a real person:* |
Invalid Input |
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