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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