IRISH FARMERS MARKETS.ie

REQUEST FORM FOR MARKET/WEB STALL

It is essential that all applications for Market Stalls are either submited by the electronic Form below,
or by posting the Printed Form to Irish Farmers Markets (Click Here)
Back to Stalls Page
*First Name: *Last Name:
*Email address: WebSite:
*Telephone: *Mobile:
Trading Name Vat Reg No.
*Address1: Address2:
*Town: *County:
Stall Category: Other Category
Market 1st Choice Choose Multiple Selections if required

Web Page Req. Yes
Insurance Company Insurance Ref No.
Public Liability Expiry Date: Product Liability Expiry Date:
PLEASE NOTE YOU MUST SEND A COPY OF
THIS INSURANCE BY EMAIL TO
info@irishfarmersmarkets.ie
*Type of Business
Short Personal/Company Background:

Comments:
Please forward pictures of products by post to:

Irish Farmers Markets, c/o Russborough House, Blessington, Co. Wicklow. Check the Box



* These fields are essential before the form is submitted
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