APPLICATION TO HIRE

Hand R letterhead webPlease print and complete this application form and post or email to above address.

I (Name) _____________________________________

Of (organization if applicable) ___________________________________________

Address__________________________________________________________________ Phone _______________________. Mob. Phone _______________________Email ________________________________. Website __________________________________

I wish to hire – The Mallacoota Mudbrick Pavilion / The Mallacoota Mudbrick Pavilion Kitchen / Mallacoota Main Hall / Mallacoota Main Hall Kitchen / Mallacoota Amphitheatre / Mallacoota Mudbrick Pavilion surrounds / Mallacoota Recreation Oval.

This Date ______________________

Date/s of Proposed Hire_____________________________________________________

I wish to hire the venue from  (time) ______________ to (time) ________________

I acknowledge that I have read the conditions of hire found on The Mallacoota Halls and Reserve Grounds Management Committee website and agree to comply with them in full.

I acknowledge that I have read the OH and S safety materials found on The Mallacoota Halls and Reserve Grounds Management Committee website and agree to comply with them in full.

I agree to pay all hire fees associated with my hire of Mallacoota Halls and Reserve Grounds Management Committee facilities as agreed between myself and Mallacoota Halls and Reserve Grounds Management Committee subsequent to the acceptance of this booking application (including any bond or other impost prior to the event) on invoice from Mallacoota Halls and Reserve Grounds Management Committee in good time after the completion of the event.

Signed ____________________________

Position in organization (if applicable) ____________________________________

MALLACOOTA COMMUNITY PRECINCT.