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Pinoy Palengke Registration Form
Business, Info, Food Stalls ($100 each)
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* Indicates required question
Email
*
Your email
Type of Stall
*
Business Stall
Information Stall
Food Stall
Other:
Number of Spaces Required
*
Your answer
Business Name
*
Your answer
Website
Your answer
FACEBOOK Page
Your answer
Region
*
Your answer
Are you a registered New Zealand company?
*
YES
NO
NZBN (if available)
Your answer
Do You Require Additional Power? (additional $50 00)
YES
NO
Clear selection
Power Requirements
Cooking
Freezing
Heating
Other:
Describe Your Product or Service
*
Your answer
Name
*
Your answer
Alternative Email Address
Your answer
Contact Number
*
Your answer
Address
*
Your answer
Declaration
*
I understand that my registration will be subject for review by the WFA organisers
Required
Date Created
*
MM
/
DD
/
YYYY
Remarks
Your answer
Send me a copy of my responses.
Submit
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