Application for Media Training Room Hire

Name of Organisation: *

Contact Name: *

Phone Home:

Work:

Mobile: *

Email: *

Address:

Postcode:

Room Being Used For: *

Date of Function: *

Estimated Attendance: *

Start Time of Function: *

Finish Time of Function: *

List any fees you will be charging: *

Please state all additional equipment you will be bringing into the venue:

Are Library staff required? *

YesNo

I accept responsibility for compliance with the Local Laws for the use of Council Property. *

I Agree

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Type the code from the image

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