Surname
First name
Home Address
Telephone No. (incl. STD code)Daytime Evening
Mobile
Current NMTF membership no.
If not member of NMTFstate name of insurance co. for public liability cover.
Name of company
Current policy no.
Amount of cover
State market you wish to attend
(Note separate application form must be submitted for each market)
Please tick the day/s you wish to attend
Monday Tuesday Wednesday Thursday Friday Saturday
State goods you wish to sell
Please be specific if possible - Specially defined lines will receive priority.
I have read the Council Policy and Conditions as Specified in the attached Schedule and should I attend any market
as a casual trader or be granted a Licence to occupy a stand I agree to comply with all market rules and regulations
and Bye-Laws that may from time to time apply.
Date Signature
Form to be returned to: Markets Officer, The Office Suite, Wigan Market Hall, Wigan, WN1 1PX
Tel.01942 514526/513163
£
Open Market Application/Registration
Please complete in BLOCK capitals
Mr