APPLICATION FOR HIRE Applicant *Street AddressOrganisation name (if applicable)Email Address *Phone *Name of event *Estimated number attending event *Date of hire *Time fromTime is 12 hour format. Choose AM for morning, PM for afternoon.HourMinutesAM/PMAMPMTime toFor PM, click the AM/PM field and swipe down.HourMinutesAM/PMAMPMKitchen required *YesNoServing or sale of alcoholIf alcohol is to be sold/served at the function, you or another person responsible must have a Responsible Service of Alcohol Certificate (RSA) and the function must be covered by a Liquor Licence.Public liability insuranceYou must have your own public liability insurance if your event is held to earn income, eg. charging entry fees, selling goods, etc. A copy of your Certificate of Currency must be provided to the Booking Officer before your booking can be confirmed.Hire fee & bondThe hall hire fee and bond are to be paid as a direct deposit to the hall’s bank account (BSB 062-580 [CBA Murwillumbah], Account No 00901161 please include your name as reference). The bond and the hire fee are to be paid prior to the date of your booking. Both fees should be paid at the same time. The bond is fully refundable and returned by direct deposit to your nominated bank account shortly after you booking provided all the conditions under Vacating the Hall have been met. You will be advised your fees when the Booking Officer confirms your booking. Your bank details for refund of bondBSB NoAccount NoAccount nameDisclaimerI have read and agree with the Term and Conditions of Hire. I understand that the booking cannot be confirmed until this Application and Public liability Insurance Certificate, if applicable, has been received by the Booking Officer.SubmitSave as Draft