Irish Village Markets
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St James Hospital
Spencer Dock Lunchtime Market
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Stillorgan Luas
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Business Name *
Your Name *
Email address *
Email(confirm) *
Markets / Events attended/participating at *
Phone *
Product Description/ Menu *
Address *
Select markets/events you would like to attend: *
Spencer Dock (Tuesday)
St James Hospital (Tuesday)
Eastpoint (Wednesday)
Central Park (Wednesday)
Spencer Dock (Wednesday)
Mespil Road (Thursday)
Spencer Dock (Thursday)
Stillorgan LUAS (Friday)
Beaumont Hospital (Friday)
Cherrywood Farmers Market (Sundays)
Unit type/dimensions *
Total power (kva) consumption electrical equipment *
RGI Gas Certification (if applicable)
Food Registration Certification *
Insurance Provider *
Services Required or Used *
32amp 3-Phase Electricity
32amp Single Phase Electricity
16amp Single Phase Electricity
Gas
Water Supply
None
Insurance Policy Number *
Copy of Public Liability Insurance *
PPS /Company Registration Number
Menu with Price List 1 *
Menu with Price List 2
Menu with Price List 3
Additional Information *
Photo of unit/vehicle *
PAT Electrical Certification
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